Rodney Tupua, BDS - Medicare Dentist in Pago Pago, AS

Rodney Tupua, BDS is a medicare enrolled "Dentist" provider in Pago Pago, American Samoa. His current practice location is 11155 Turner Drive, Pago Pago, American Samoa. You can reach out to his office (for appointments etc.) via phone at (684) 633-1222.

Rodney Tupua is licensed to practice in American Samoa (license number 3096A) 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 1750010864.

Contact Information

Rodney Tupua, BDS
11155 Turner Drive,
Pago Pago, AS 96799-0010
(684) 633-1222
(684) 633-1869



Healthcare Provider's Profile

Full NameRodney Tupua
GenderMale
SpecialityDentist
Location11155 Turner Drive, Pago Pago, American Samoa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750010864
  • Provider Enumeration Date: 06/06/2022
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173976842
  • Enrollment ID: I20240129004487

Medical Identifiers

Medical identifiers for Rodney Tupua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750010864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 3096A (American Samoa)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. Rodney Tupua allows following entities to bill medicare on his behalf.
Entity NameAmerican Samoa Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043085681
PECOS PAC ID: 4385545870
Enrollment ID: O20240102002464

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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. Rodney Tupua 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 AddressPractice Location Address
Rodney Tupua, BDS
Po Box Lbj,
Pago Pago, AS 96799-0010

Ph: (684) 633-1222
Rodney Tupua, BDS
11155 Turner Drive,
Pago Pago, AS 96799-0010

Ph: (684) 633-1222

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Dentist in Pago Pago, AS

Toko Sipelii, B.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7014 Ottoville Road, Island Smiles, Tafuna Village, Pago Pago, AS 96799
Phone: 684-733-0073    
Dr. Priyashna Prishika Chand, BDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Paul Turner Drive, Pago Pago, AS 96799
Phone: 684-633-1222    Fax: 684-633-1839
Dr. Talifa J Talifa Jr., BDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3965 Tafuna Petesa Road, Pago Pago, AS 96799
Phone: 684-699-6380    Fax: 684-699-6374
Lumepa Matatia-kuki, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 11155 Turner Drive, Pago Pago, AS 96799
Phone: 684-633-1222    Fax: 684-633-1869
Inoke Tutanekai Siasau, BDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: First Street Fagaalu, Pago Pago, AS 96799
Phone: 684-699-6380    Fax: 684-699-6374
Noreen Takubala, BDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11155 Turner Drive, Pago Pago, AS 96799
Phone: 684-633-1222    Fax: 684-633-1869
Hansel Ma. G. Villarica, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: First Street Fagaalu, Petesa Road, Pago Pago, AS 96799
Phone: 684-699-6380    Fax: 684-699-6374

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