Mathias Darrell Rupp, CRNA in Flagstaff, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Mathias Darrell Rupp, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagstaff, Arizona. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Southwestern Eye Center, Ltd, Tuba City Regional Health Care Corporation and his current practice location is 77 W Forest Ave Ste 117, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2505.

Mathias Darrell Rupp is licensed to practice in Arizona (license number CRNA1070) 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 1164822920.

Contact Information

	Mathias Darrell Rupp, CRNA
	77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482
	(928) 773-2505
	(928) 773-2504

Map and Direction

Provider's Profile

Full Name	Mathias Darrell Rupp
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	77 W Forest Ave Ste 117, Flagstaff, Arizona
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:

Mathias Darrell Rupp graduated from nursing school in 2014

NPI Data:

NPI Number: 1164822920
Provider Enumeration Date: 08/29/2014
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 2567784556
Enrollment ID: I20141202000902

Medical Identifiers

Medical identifiers for Mathias Darrell Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164822920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	256689 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA1070 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwestern Eye Center, Ltd	1850296989	98
Tuba City Regional Health Care Corporation	4284542531	124

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. Mathias Darrell Rupp allows following entities to bill medicare on his behalf.

Entity Name	Southwestern Eye Center, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181

Entity Name	Barnet Dulaney Perkins Eye Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349

Entity Name	Southwest Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124649389 PECOS PAC ID: 6305260878 Enrollment ID: O20200717000480

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. Mathias Darrell 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
Mathias Darrell Rupp, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505	Mathias Darrell Rupp, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Elizabeth Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Tara Dupuy Herrero, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-558-7001

Mathias Darrell Rupp, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flagstaff, AZ