Irena Gribovskaja-rupp, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Columbia, South Carolina. She went to Medical College Of Wisconsin and graduated in 2007 and has 19 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is
1333 Taylor St Ste 5f, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 748-9966.
Irena Gribovskaja-rupp is licensed to practice in South Carolina (license number 92626) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659494482.
Physician's Profile
| Full Name | Irena Gribovskaja-rupp |
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| Gender | Female |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 19 Years |
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| Location | 1333 Taylor St Ste 5f, Columbia, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Irena Gribovskaja-rupp attended and graduated from Medical College Of Wisconsin in 2007
NPI Data:
- NPI Number: 1659494482
- Provider Enumeration Date: 04/08/2007
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264747609
- Enrollment ID: I20240905002895
Medical Identifiers
Medical identifiers for Irena Gribovskaja-rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659494482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MD-42736 (Iowa) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD-42736 (Iowa) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 92626 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Prisma Health Medical Group-midlands | 5991099707 | 919 |
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. Irena Gribovskaja-rupp allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health Medical Group-midlands |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
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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. Irena Gribovskaja-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 |
Irena Gribovskaja-rupp, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Irena Gribovskaja-rupp, MD 1333 Taylor St Ste 5f, Columbia, SC 29201-2951 Ph: (803) 748-9966 |
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