Innokentiy Krupnov, MD in Jacksonville, FL

Innokentiy Krupnov, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Jacksonville, Florida. His current practice location is 3625 University Blvd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 702-1276.

Innokentiy Krupnov is licensed to practice in Florida (license number ME175640) 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 1336601343.

Contact Information

	Innokentiy Krupnov, MD
	3625 University Blvd S, Jacksonville, FL 32216-4207
	(904) 702-1276
	Not Available

Map and Direction

Physician's Profile

Full Name	Innokentiy Krupnov
Gender	Male
Speciality	Surgery - Surgical Critical Care
Location	3625 University Blvd S, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336601343
Provider Enumeration Date: 04/01/2019
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 4688020043
Enrollment ID: I20231023000313

Medical Identifiers

Medical identifiers for Innokentiy Krupnov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336601343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	ME175640 (Florida)	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. Innokentiy Krupnov 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
Innokentiy Krupnov, MD 3625 University Blvd S, Jacksonville, FL 32216-4207 Ph: (904) 702-1276	Innokentiy Krupnov, MD 3625 University Blvd S, Jacksonville, FL 32216-4207 Ph: (904) 702-1276

Reviews and Comments

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Erin M Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 Phone: 904-398-3888 Fax: 904-400-6675
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Innokentiy Krupnov, MD - Medicare Surgery in Jacksonville, FL