Steven A Rupert, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Paducah, Kentucky. His current practice location is
4645 Village Square Dr Ste C, Paducah, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 228-0118.
Steven A Rupert is licensed to practice in Indiana (license number 02001097) 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 1295732055.
Physician's Profile
| Full Name | Steven A Rupert |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 4645 Village Square Dr Ste C, Paducah, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295732055
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002843638
- Enrollment ID: I20050726000572
Medical Identifiers
Medical identifiers for Steven A Rupert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295732055 | NPI | - | NPPES |
| 200850420A | Medicaid | IN | |
| 100179690 | Medicaid | IN | |
| 64873391 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 02001097 (Indiana) | 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. Steven A Rupert allows following entities to bill medicare on his behalf.
| Entity Name | Shadeland Anesthesia & Pain Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477589000
PECOS PAC ID: 2769468990
Enrollment ID: O20040628000781 |
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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. Steven A Rupert 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 |
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Steven A Rupert, DO
4645 Village Square Dr Ste C,
Paducah, KY 42001-7448
Ph: (270) 228-0118 | Steven A Rupert, DO
4645 Village Square Dr Ste C,
Paducah, KY 42001-7448
Ph: (270) 228-0118 |
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