Stephen Brian Rupp, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Big Rapids, Michigan. His current practice location is
605 Oak St, Big Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 364-6700.
Stephen Brian Rupp is licensed to practice in Michigan (license number 4301055664) 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 1326053620.
Physician's Profile
Full Name | Stephen Brian Rupp |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 605 Oak St, Big Rapids, Michigan |
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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: 1326053620
- Provider Enumeration Date: 07/29/2006
- Last Update Date: 12/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072584861
- Enrollment ID: I20041115000275
Medical Identifiers
Medical identifiers for Stephen Brian Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326053620 | NPI | - | NPPES |
2639651100 | Medicaid | MI | |
300045861 | Other | MI | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 4301055664 (Michigan) | 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. Stephen Brian Rupp allows following entities to bill medicare on his behalf.
Entity Name | Radiology Muskegon, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841208071 PECOS PAC ID: 1355241191 Enrollment ID: O20040109000458 |
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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. Stephen Brian Rupp 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 |
Stephen Brian Rupp, MD Po Box 186, Grand Rapids, MI 49501 Ph: (616) 364-6700 | Stephen Brian Rupp, MD 605 Oak St, Big Rapids, MI 49307-2048 Ph: (616) 364-6700 |
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