Charles Jacob Cupp, FNP in Madisonville, TN - Medicare Nurse Practitioner

Charles Jacob Cupp, FNP is a medicare enrolled "Nurse Practitioner - Family" in Madisonville, Tennessee. His current practice location is 167 Warren St, Madisonville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 442-5480.

Charles Jacob Cupp is licensed to practice in Tennessee (license number 34212) 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 1811675960.

Contact Information

	Charles Jacob Cupp, FNP
	167 Warren St, Madisonville, TN 37354-3001
	(423) 442-5480
	(833) 908-2129

Map and Direction

Provider's Profile

Full Name	Charles Jacob Cupp
Gender	Male
Speciality	Nurse Practitioner - Family
Location	167 Warren St, Madisonville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811675960
Provider Enumeration Date: 07/10/2023
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5991152472
Enrollment ID: I20231104000348

Medical Identifiers

Medical identifiers for Charles Jacob Cupp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811675960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	34212 (Tennessee)	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. Charles Jacob Cupp allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

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. Charles Jacob Cupp 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
Charles Jacob Cupp, FNP 1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383 Ph: (865) 584-4747	Charles Jacob Cupp, FNP 167 Warren St, Madisonville, TN 37354-3001 Ph: (423) 442-5480

Reviews and Comments

Nurse Practitioner Nurses in Madisonville, TN

Mary J Walker, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 Isbill Rd, Madisonville, TN 37354 Phone: 865-335-0330 Fax: 865-273-1755
Tracy Stratton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760
Ms. Samantha Walker Burns, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622
Mrs. Jaclyn Nicole Botterbush, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4008 Highway 411, Madisonville, TN 37354 Phone: 423-427-2402 Fax: 423-427-2403
Mrs. Lucinda Leanna Murphy, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 310 Tellico St S, Madisonville, TN 37354 Phone: 423-442-1235
Dr. Caitlin Mccabe Kile, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321 Tellico St S, Madisonville, TN 37354 Phone: 423-442-9711
Jamie Nicole Daugherty, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-8084 Fax: 423-442-8085

Charles Jacob Cupp, FNP - Medicare Nurse Practitioner in Madisonville, TN