Randal Curtis Cupp, PA-C in Tacoma, WA - Medicare Physician Assistant

Randal Curtis Cupp, PA-C is a medicare enrolled "Physician Assistant" in Tacoma, Washington. He graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Franciscan Medical Group and his current practice location is 1717 S J St, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 426-6341.

Randal Curtis Cupp is licensed to practice in Washington (license number PA10003464) 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 1205024866.

Contact Information

	Randal Curtis Cupp, PA-C
	1717 S J St, Tacoma, WA 98405-4933
	(253) 426-6341
	(253) 426-6344

Map and Direction

Provider's Profile

Full Name	Randal Curtis Cupp
Gender	Male
Speciality	Physician Assistant
Experience	28 Years
Location	1717 S J St, Tacoma, Washington
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:

Randal Curtis Cupp graduated from nursing school in 1996

NPI Data:

NPI Number: 1205024866
Provider Enumeration Date: 10/09/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3476640731
Enrollment ID: I20071102000206

Medical Identifiers

Medical identifiers for Randal Curtis Cupp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205024866	NPI	-	NPPES
0225542	Other	WA	STATE L&I
8498388	Medicaid	WA
0302340	Other	WA	STATE L&I
P00704522	Other	WA	RAILROAD
8945631	Other	WA	STATE CRIME VICTIMS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA10003464 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Medical Center	Tacoma, WA	Hospital
St Clare Hospital	Lakewood, WA	Hospital
St Francis Community Hospital	Federal way, WA	Hospital
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Medical Group	0547173866	1115

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. Randal Curtis Cupp 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
Randal Curtis Cupp, PA-C 203 S. Western Ave, C/o: Credentialing, Tonasket, WA 98855 Ph: (509) 486-3144	Randal Curtis Cupp, PA-C 1717 S J St, Tacoma, WA 98405-4933 Ph: (253) 426-6341

Reviews and Comments

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Randal Curtis Cupp, PA-C - Medicare Physician Assistant in Tacoma, WA