| Jacob Edwin Kuperstock, MD | |
|
3801 University Dr Ste 300, Fairfax, VA 22030 | |
| (703) 383-8130 | |
| (703) 383-7355 |
| Full Name | Jacob Edwin Kuperstock |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 12 Years |
| Location | 3801 University Dr Ste 300, Fairfax, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700145182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 255486 (Massachusetts) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 0101266254 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Otolaryngology Associates Pc | 8022188069 | 29 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
| Entity Name | Otolaryngology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861534836 PECOS PAC ID: 8022188069 Enrollment ID: O20080603000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Edwin Kuperstock, MD 3801 University Dr Ste 300, Fairfax, VA 22030-2503 Ph: (703) 383-8130 | Jacob Edwin Kuperstock, MD 3801 University Dr Ste 300, Fairfax, VA 22030 Ph: (703) 383-8130 |
Dr. Mark I Rubinstein, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031 Phone: 703-573-7600 Fax: 703-560-3808 | |
Dr. Robert S Bahadori, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031 Phone: 703-573-7600 Fax: 703-560-3808 | |
Dr. Christopher W Tsang, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 8280 Willow Oaks Corporate Dr Ste 300, Fairfax, VA 22031 Phone: 571-472-4300 | |
Gopesh Kumar Sharma, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8303 Arlington Blvd Ste 203, Fairfax, VA 22031 Phone: 703-573-3177 Fax: 703-573-3780 | |
Kaelan Dendy Young Black, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3801 University Dr Ste 300, Fairfax, VA 22030 Phone: 703-383-8130 Fax: 703-383-7350 | |
Dr. Timothy Paul Mcbride, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031 Phone: 703-573-7600 Fax: 703-560-3808 | |
Dr. Bryan Anthony Mckenzie, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031 Phone: 703-573-7600 Fax: 703-560-3808 |