Jason Shupe, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in San Dimas, California. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
554 E Foothill Blvd Ste 120, San Dimas, California. You can reach out to his office (for appointments etc.) via phone at
(909) 248-3437.
Jason Shupe is licensed to practice in California (license number 20A13620) 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 1679914469.
Physician's Profile
| Full Name | Jason Shupe |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 11 Years |
|---|
| Location | 554 E Foothill Blvd Ste 120, San Dimas, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jason Shupe attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 2013
NPI Data:
- NPI Number: 1679914469
- Provider Enumeration Date: 07/10/2013
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113168493
- Enrollment ID: I20161114001962
Medical Identifiers
Medical identifiers for Jason Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679914469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20A13620 (California) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 20A13620 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 7951 |
| | |
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. Jason Shupe allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
|---|
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. Jason Shupe 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 |
|---|
Jason Shupe, DO
554 E Foothill Blvd Ste 120,
San Dimas, CA 91773-1222
Ph: (909) 248-3437 | Jason Shupe, DO
554 E Foothill Blvd Ste 120,
San Dimas, CA 91773-1222
Ph: (909) 248-3437 |
Reviews and Comments