Paulina Chalupsky, NP is a medicare enrolled "Nurse Practitioner - Family" in Silver Bay, Minnesota. Her current practice location is
56 Outer Dr, Silver Bay, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 353-8709.
Paulina Chalupsky is licensed to practice in Minnesota (license number R190097-6) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114369196.
Provider's Profile
| Full Name | Paulina Chalupsky |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 56 Outer Dr, Silver Bay, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114369196
- Provider Enumeration Date: 07/19/2013
- Last Update Date: 10/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 4183867948
- Enrollment ID: I20130826000862
Medical Identifiers
Medical identifiers for Paulina Chalupsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114369196 | NPI | - | NPPES |
| 1114369196 | Medicaid | MI | |
| 1114369196 | Medicaid | WI | |
| 0001-0103723 | Other | MN | MEDICA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R190097-6 (Minnesota) | 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. Paulina Chalupsky allows following entities to bill medicare on her behalf.
| Entity Name | State Of Minnesota-minnesota Management And Budget |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295025864
PECOS PAC ID: 1658268677
Enrollment ID: O20040303000532 |
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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. Paulina Chalupsky 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 |
|---|
Paulina Chalupsky, NP
56 Outer Dr,
Silver Bay, MN 55614-1133
Ph: (218) 353-8709 | Paulina Chalupsky, NP
56 Outer Dr,
Silver Bay, MN 55614-1133
Ph: (218) 353-8709 |
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