Dr Adam Jeffrey Rupp, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Sartell, Minnesota. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Center For Pain Management, P.a. and his current practice location is
804 23rd St S, Sartell, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 230-7788.
Dr Adam Jeffrey Rupp is licensed to practice in Minnesota (license number 79270) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053940056.
Physician's Profile
| Full Name | Dr Adam Jeffrey Rupp |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 6 Years |
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| Location | 804 23rd St S, Sartell, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Jeffrey Rupp graduated from medical school in 2020
NPI Data:
- NPI Number: 1053940056
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 09/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264856210
- Enrollment ID: I20251117000358
Medical Identifiers
Medical identifiers for Dr Adam Jeffrey Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053940056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 9410217 (Kansas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 79270 (Minnesota) | Primary |
| 207R00000X | Internal Medicine | 9410217 (Kansas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Center For Pain Management, P.a. | 8820008832 | 16 |
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. Dr Adam Jeffrey Rupp 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 |
|---|
Dr Adam Jeffrey Rupp, DO
804 23rd St S,
Sartell, MN 56377-4705
Ph: (320) 230-7788 | Dr Adam Jeffrey Rupp, DO
804 23rd St S,
Sartell, MN 56377-4705
Ph: (320) 230-7788 |
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