Tammy Tripp, is a medicare enrolled "Social Worker - Clinical" provider in Osceola, Arkansas. He graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Selah Health and his current practice location is
3201 W Keiser Ave, Osceola, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 622-0592.
Tammy Tripp is licensed to practice in Arkansas (license number 5949-C) 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 1518246438.
Healthcare Provider's Profile
Full Name | Tammy Tripp |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 13 Years |
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Location | 3201 W Keiser Ave, Osceola, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tammy Tripp graduated from medical school in 2011
NPI Data:
- NPI Number: 1518246438
- Provider Enumeration Date: 08/09/2011
- Last Update Date: 05/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 8820328776
- Enrollment ID: I20190919002204
Medical Identifiers
Medical identifiers for Tammy Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518246438 | NPI | - | NPPES |
187841795 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 5949-C (Arkansas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Selah Health | 5395130546 | 2 |
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. Tammy Tripp allows following entities to bill medicare on his behalf.
Entity Name | Families, Inc Of Arkansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770535569 PECOS PAC ID: 9335133669 Enrollment ID: O20040412000211 |
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Entity Name | Affinity Relationship Coaching Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851957625 PECOS PAC ID: 0244564680 Enrollment ID: O20190619000684 |
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Entity Name | Selah Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720734247 PECOS PAC ID: 5395130546 Enrollment ID: O20220324002295 |
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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. Tammy Tripp 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 Address | Practice Location Address |
Tammy Tripp, 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 Ph: (870) 933-6886 | Tammy Tripp, 3201 W Keiser Ave, Osceola, AR 72370-3467 Ph: (870) 622-0592 |
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