David John Tupa, PHD in Fargo, ND - Medicare Psychologist Provider

David John Tupa, PHD is a medicare enrolled "Psychologist - Psychoanalysis" provider in Fargo, North Dakota. His current practice location is 100 4th St S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-4141.

David John Tupa is licensed to practice in North Dakota (license number 385) 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 1952323529.

Contact Information

	David John Tupa, PHD
	100 4th St S, Fargo, ND 58103-1929
	(701) 234-4141
	(701) 234-4160

Map and Direction

Healthcare Provider's Profile

Full Name	David John Tupa
Gender	Male
Speciality	Psychologist - Psychoanalysis
Location	100 4th St S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952323529
Provider Enumeration Date: 07/24/2006
Last Update Date: 10/29/2008

Medicare PECOS Information:

PECOS PAC ID: 8426062068
Enrollment ID: I20060202000526

Medical Identifiers

Medical identifiers for David John Tupa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952323529	NPI	-	NPPES
13706	Medicaid	ND
783862000	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TP0814X	Psychologist - Psychoanalysis	385 (North Dakota)	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. David John Tupa allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. David John Tupa 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
David John Tupa, PHD 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-4141	David John Tupa, PHD 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-4141

Reviews and Comments

Psychologist in Fargo, ND

Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071

David John Tupa, PHD - Medicare Psychologist in Fargo, ND