Jacob Edwin Kuperstock, MD - Medicare Otolaryngology in Fairfax, VA

Jacob Edwin Kuperstock, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Fairfax, Virginia. He went to Stanford University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Otolaryngology Associates Pc and his current practice location is 3801 University Dr Ste 300, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 383-8130.

Jacob Edwin Kuperstock is licensed to practice in Virginia (license number 0101266254) 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 1700145182.

Contact Information

Jacob Edwin Kuperstock, MD
3801 University Dr Ste 300,
Fairfax, VA 22030
(703) 383-8130
(703) 383-7355



Physician's Profile

Full NameJacob Edwin Kuperstock
GenderMale
SpecialityOtolaryngology
Experience11 Years
Location3801 University Dr Ste 300, Fairfax, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Edwin Kuperstock attended and graduated from Stanford University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1700145182
  • Provider Enumeration Date: 05/06/2012
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577795251
  • Enrollment ID: I20190923001554

Medical Identifiers

Medical identifiers for Jacob Edwin Kuperstock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700145182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 255486 (Massachusetts)Secondary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 0101266254 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fairfax HospitalFalls church, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Otolaryngology Associates Pc802218806924

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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. Jacob Edwin Kuperstock allows following entities to bill medicare on his behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644

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Entity NameOtolaryngology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861534836
PECOS PAC ID: 8022188069
Enrollment ID: O20080603000688

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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. Jacob Edwin Kuperstock 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
Jacob Edwin Kuperstock, MD
3801 University Dr Ste 300,
Fairfax, VA 22030-2503

Ph: (703) 383-8130
Jacob Edwin Kuperstock, MD
3801 University Dr Ste 300,
Fairfax, VA 22030

Ph: (703) 383-8130

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Otolaryngology Doctors in Fairfax, VA

Dr. Mark I Rubinstein, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031
Phone: 703-573-7600    Fax: 703-560-3808
Dr. Robert S Bahadori, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031
Phone: 703-573-7600    Fax: 703-560-3808
Dr. Christopher W Tsang, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8280 Willow Oaks Corporate Dr Ste 300, Fairfax, VA 22031
Phone: 571-472-4300    
Gopesh Kumar Sharma, M.D
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8303 Arlington Blvd Ste 203, Fairfax, VA 22031
Phone: 703-573-3177    Fax: 703-573-3780
Dr. Timothy Paul Mcbride, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031
Phone: 703-573-7600    Fax: 703-560-3808
Dr. Bryan Anthony Mckenzie, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 8316 Arlington Blvd, Suite 300, Fairfax, VA 22031
Phone: 703-573-7600    Fax: 703-560-3808

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