Lieu Rupp, M.d. Inc. - Medicare Primary Care in Riverside, CA

Lieu Rupp, M.d. Inc. is a medicare enrolled primary clinic (Family Medicine) in Riverside, California. The current practice location for Lieu Rupp, M.d. Inc. is 4440 Brockton Ave Ste 100, Riverside, California. For appointments, you can reach them via phone at (951) 369-0138. The mailing address for Lieu Rupp, M.d. Inc. is 4440 Brockton Ave Ste 100, Riverside, California and phone number is (951) 369-0138.

Lieu Rupp, M.d. Inc. is licensed to practice in California (license number G064515). The clinic also participates in the medicare program and its NPI number is 1962688614. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 369-0138.

Contact Information

Lieu Rupp, M.d. Inc.
4440 Brockton Ave Ste 100
Riverside
CA 92501-4026
(951) 369-0138
(951) 369-1028

Primary Care Clinic Profile

Full NameLieu Rupp, M.d. Inc.
SpecialityFamily Medicine
Location4440 Brockton Ave Ste 100, Riverside, California
Authorized Official Name and PositionLieu Rupp (OWNER)
Authorized Official Contact9513690138
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lieu Rupp, M.d. Inc.
4440 Brockton Ave Ste 100
Riverside
CA 92501-4026

Ph: (951) 369-0138
Lieu Rupp, M.d. Inc.
4440 Brockton Ave Ste 100
Riverside
CA 92501-4026

Ph: (951) 369-0138

NPI Details:

NPI Number1962688614
Provider Enumeration Date01/11/2008
Last Update Date01/11/2008

Medicare PECOS Information:

Medicare PECOS PAC ID4981787371
Medicare Enrollment IDO20080207000628

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Medical Identifiers

Medical identifiers for Lieu Rupp, M.d. Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962688614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G064515 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lieu Rupp, M.d. Inc. acts as a billing entity for following providers:
Provider NameLieu T Rupp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508957127
PECOS PAC ID: 9032117999
Enrollment ID: I20061201000297

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