Shana A Ageloff-kupetz, MD - Medicare Family Practice in Jackson, MI

Shana A Ageloff-kupetz, MD is a medicare enrolled "Family Medicine" physician in Jackson, Michigan. She went to Pennsylvania State University College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice W A Foote Memorial Hospital Inc and her current practice location is 3235 E Michigan Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 787-3280.

Shana A Ageloff-kupetz is licensed to practice in Michigan (license number 4301097152) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437385382.

Contact Information

Shana A Ageloff-kupetz, MD
3235 E Michigan Ave,
Jackson, MI 49202-3971
(517) 787-3280
(517) 787-9680

Map and Direction




Physician's Profile

Full NameShana A Ageloff-kupetz
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location3235 E Michigan Ave, Jackson, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shana A Ageloff-kupetz attended and graduated from Pennsylvania State University College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1437385382
  • Provider Enumeration Date: 06/05/2009
  • Last Update Date: 01/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9638200538
  • Enrollment ID: I20110111000754

Medical Identifiers

Medical identifiers for Shana A Ageloff-kupetz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437385382NPI-NPPES
45592OtherCOSTATE LICENSE
080G31660OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
185245OtherMIGREAT LAKES HREALTH PLAN OF MICHIGAN
381908328OtherMOHCAP
1437385382MedicaidMI
381908328OtherMIPRIORITY HEALTH
1437385382OtherMIMOLINA HEALTH PLAN OF MICHIGAN
381908328470OtherMICARE SOURCE OF MICHIGAN
1062975OtherMIMCLAREN HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301097152 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Allegiance Home CareJackson, MIHome health agency
Henry Ford Allegiance HealthJackson, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
W A Foote Memorial Hospital Inc0244136067410

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. Shana A Ageloff-kupetz allows following entities to bill medicare on her behalf.
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437826
PECOS PAC ID: 0244136067
Enrollment ID: O20031212000691

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. Shana A Ageloff-kupetz 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 AddressPractice Location Address
Shana A Ageloff-kupetz, MD
3235 E Michigan Ave,
Jackson, MI 49202-3971

Ph: (517) 787-3280
Shana A Ageloff-kupetz, MD
3235 E Michigan Ave,
Jackson, MI 49202-3971

Ph: (517) 787-3280

Reviews and Comments


Family Medicine Doctors in Jackson, MI

Rubana Khan, DO
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Maria Soto, DO
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Dr. Robert N Israel, M.D.
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Ray H King, M.D.
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Phone: 517-784-0588    Fax: 517-784-3866
William Bradley Bivens, MD
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Practice Location: 2585 Spring Arbor Rd, Jackson, MI 49203
Phone: 517-784-0032    Fax: 517-784-8959

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.