Miss Sara Elizabeth Rupp, ATC, RN is a
Specialist/technologist - Athletic Trainer based in Fort Wayne, Indiana. Miss Sara Elizabeth Rupp is licensed to practice in Indiana (license number 36000457A) and her current practice location is
5050 North Clinton, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 484-8551.
NPI number for Miss Sara Elizabeth Rupp is 1174592240 and her current mailing address is 5728 Thornbriar Ln, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174592240.
Provider's Profile
Full Name | Miss Sara Elizabeth Rupp |
---|
Gender | Female |
---|
Speciality | Specialist/technologist - Athletic Trainer |
---|
Location | 5050 North Clinton, Fort Wayne, Indiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174592240
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Sara Elizabeth Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174592240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28151799A (Indiana) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 36000457A (Indiana) | Primary |
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. Miss Sara Elizabeth Rupp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Sara Elizabeth Rupp, ATC, RN 5728 Thornbriar Ln, Fort Wayne, IN 46835-3875 Ph: (260) 485-2418 | Miss Sara Elizabeth Rupp, ATC, RN 5050 North Clinton, Fort Wayne, IN 46825 Ph: (260) 484-8551 |
Reviews and Comments