Dr Rupa Thacker, MD - Medicare Pediatrics in Detroit, MI

Dr Rupa Thacker, MD is a medicare enrolled "Pediatrics" physician in Detroit, Michigan. Her current practice location is 3901 Beaubien St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-5533.

Dr Rupa Thacker is licensed to practice in Michigan (license number 4301096912) 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 1013226802.

Contact Information

Dr Rupa Thacker, MD
3901 Beaubien St,
Detroit, MI 48201-2119
(313) 745-5533
Not Available



Physician's Profile

Full NameDr Rupa Thacker
GenderFemale
SpecialityPediatrics
Location3901 Beaubien St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013226802
  • Provider Enumeration Date: 09/28/2010
  • Last Update Date: 07/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1759523046
  • Enrollment ID: I20130816000019

Medical Identifiers

Medical identifiers for Dr Rupa Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013226802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301096912 (Michigan)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. Dr Rupa Thacker allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Entity NameChildrens Hospital Los Angeles Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265530653
PECOS PAC ID: 0143126920
Enrollment ID: O20031211000522

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Entity NameValley Childrens Primary Care Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760877245
PECOS PAC ID: 1254646987
Enrollment ID: O20150810002892

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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. Dr Rupa Thacker 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
Dr Rupa Thacker, MD
4500 Cass Avenue, Apartment # 1121,
Detroit, MI 48201

Ph: (909) 569-4224
Dr Rupa Thacker, MD
3901 Beaubien St,
Detroit, MI 48201-2119

Ph: (313) 745-5533

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› Verified 5 days ago


Pediatrics Doctors in Detroit, MI

Dr. Ijeoma Nnodim Opara, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201
Phone: 313-745-4627    Fax: 313-966-7305
Dr. Alissa M Martin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201
Phone: 313-745-5515    Fax: 313-745-5237
Norimitsu Kuwabara, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201
Phone: 313-745-5906    Fax: 313-745-0955
Karolina Maksimowski,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3901 Beaubien St, Detroit, MI 48201
Phone: 313-745-5260    Fax: 313-966-0665
Raffat A. Siddiqi, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235
Phone: 313-653-2500    Fax: 313-653-2555
Joshua Kim, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3901 Beaubien St, Detroit, MI 48201
Phone: 313-745-5870    

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