| Robert John Kupis, PA-C | |
|
196 Parkway South, Suite 103, Waterford, CT 06385 | |
| (860) 443-4383 | |
| (860) 443-3980 |
| Full Name | Robert John Kupis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 196 Parkway South, Waterford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285676353 | NPI | - | NPPES |
| 004210407 | Other | BLUECARE FAMILY PLAN | |
| P2626854 | Other | OXFORD/ECCD: 06-1616101 | |
| P2650601 | Other | OXFORD/ECCG: 06-1049086 | |
| 500HBC444CT01 | Other | ANTHEM/HOSP-BASED ECCD | |
| 06-1049086 | Other | COMMUNITY HEALTH NETWORK | |
| 060064824 | Other | RR MED/ECCD: 06-1616101 | |
| 641664 | Other | CONNECTICARE | |
| 970011351 | Other | RR MED/ECCG: 06-1049086 | |
| 06-1616101 | Other | COMMUNITY HEALTH NETWORK | |
| 0V9726 | Other | HEALTHNET/ECCG:06-1049086 | |
| 290000893CT01 | Other | ANTHEM/ECCG:06-1049086 | |
| 290001019CT03 | Other | ANTHEM/ECCD:06-1616101 | |
| 0V9727 | Other | HEALTHNET/ECCD:06-1616101 |
| Entity Name | Family Health Centers of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert John Kupis, PA-C 196 Parkway South, Suite 103, Waterford, CT 06385 Ph: (860) 443-4383 | Robert John Kupis, PA-C 196 Parkway South, Suite 103, Waterford, CT 06385 Ph: (860) 443-4383 |
Susan K Schroeder, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385 Phone: 860-440-0688 Fax: 860-437-0318 |
Jodi V Hodge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961 |
Russell R Otto, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Boston Post Rd, Waterford, CT 06385 Phone: 860-442-0407 Fax: 860-444-2015 |
Ms. Kimberly Guzzio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 |
Julie Zito, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961 |
Amanda Siminerio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385 Phone: 860-257-4131 |
Christopher D. Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385 Phone: 860-440-0688 Fax: 860-437-0318 |