Amanda Mary Kupst, PA-C in Lake Ronkonkoma, NY - Medicare Physician Assistant

Amanda Mary Kupst, PA-C is a medicare enrolled "Physician Assistant" in Lake Ronkonkoma, New York. She went to State University Of Ny Upstate Medical University and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Utah Adult Services and her current practice location is 500 Portion Rd Ste 11, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at (631) 648-0101.

Amanda Mary Kupst is licensed to practice in Utah (license number 13205879-1206) 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 1467927764.

Contact Information

	Amanda Mary Kupst, PA-C
	500 Portion Rd Ste 11, Lake Ronkonkoma, NY 11779-4587
	(631) 648-0101
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Mary Kupst
Gender	Female
Speciality	Physician Assistant
Experience	6 Years
Location	500 Portion Rd Ste 11, Lake Ronkonkoma, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Mary Kupst attended and graduated from State University Of Ny Upstate Medical University in 2018

NPI Data:

NPI Number: 1467927764
Provider Enumeration Date: 10/12/2018
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 3173864147
Enrollment ID: I20230515001593

Medical Identifiers

Medical identifiers for Amanda Mary Kupst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467927764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	13205879-1206 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435

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. Amanda Mary Kupst 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
Amanda Mary Kupst, PA-C 23 Texaco Ave Apt 109, Port Jefferson, NY 11777-2243 Ph: (607) 759-0105	Amanda Mary Kupst, PA-C 500 Portion Rd Ste 11, Lake Ronkonkoma, NY 11779-4587 Ph: (631) 648-0101

Reviews and Comments

Physician Assistant Nurses in Lake Ronkonkoma, NY

Jordan Michiel, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Weichers St, Lake Ronkonkoma, NY 11779 Phone: 631-922-4617
Anisa Ali-perez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117
Alexa Renee Haemer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Portion Rd Ste 11, Lake Ronkonkoma, NY 11779 Phone: 631-484-0101
Austin D Prince, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Portion Rd Ste 2, Lake Ronkonkoma, NY 11779 Phone: 631-648-9708

Amanda Mary Kupst, PA-C - Medicare Physician Assistant in Lake Ronkonkoma, NY