Paul George Kupicha, is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Rochester, New York. His current practice location is
601 Elmwood Ave, Box #655, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 275-4707.
Paul George Kupicha is licensed to practice in New York (license number 382538) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982084257.
Physician's Profile
Full Name | Paul George Kupicha |
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Gender | Male |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 601 Elmwood Ave, Rochester, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982084257
- Provider Enumeration Date: 06/02/2015
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496064255
- Enrollment ID: I20151016001435
Medical Identifiers
Medical identifiers for Paul George Kupicha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982084257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0120X | Surgery - Pediatric Surgery | 382538 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 382538 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul George Kupicha allows following entities to bill medicare on his behalf.
Entity Name | Emergency Associates - University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346281268 PECOS PAC ID: 4789596347 Enrollment ID: O20031103000240 |
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Entity Name | University Of Rochester Surgical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740205566 PECOS PAC ID: 8022919232 Enrollment ID: O20040120000191 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul George Kupicha is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Paul George Kupicha, University Of Rochester Medical Ctr, 601 Elmwood Ave, Rochester, NY 14642-0001 Ph: () - | Paul George Kupicha, 601 Elmwood Ave, Box #655, Rochester, NY 14642-0001 Ph: (585) 275-4707 |
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