Mr Isaias R Cupino Jr, MD is a medicare enrolled "Family Medicine" physician in Lena, Wisconsin. His current practice location is
200 Rosera St, Lena, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 829-6400.
Mr Isaias R Cupino Jr is licensed to practice in Wisconsin (license number 37208020) 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 1306835350.
Physician's Profile
| Full Name | Mr Isaias R Cupino Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 200 Rosera St, Lena, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306835350
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 09/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 1759364318
- Enrollment ID: I20040612000557
Medical Identifiers
Medical identifiers for Mr Isaias R Cupino Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306835350 | NPI | - | NPPES |
| 1851477913 | Other | WI | CMH NPI |
| 1326349135 | Other | WI | CMH SB NPI |
| 1346371358 | Other | WI | LENA CLINIC NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 37208020 (Wisconsin) | Primary |
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. Mr Isaias R Cupino Jr allows following entities to bill medicare on his behalf.
| Entity Name | St Clare Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
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| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
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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. Mr Isaias R Cupino Jr 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 |
Mr Isaias R Cupino Jr, MD 200 S Rosera St, Lena, WI 54139-9169 Ph: (920) 829-6400 | Mr Isaias R Cupino Jr, MD 200 Rosera St, Lena, WI 54139-9169 Ph: (920) 829-6400 |
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