Dr Todd Edward Stipp, DDS is a medicare enrolled "Dentist" provider in Worthington, Indiana. His current practice location is
115 E Main St, Worthington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 875-2988.
Dr Todd Edward Stipp is licensed to practice in Indiana (license number 12009046) 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 1922108943.
Healthcare Provider's Profile
Full Name | Dr Todd Edward Stipp |
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Gender | Male |
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Speciality | Dentist |
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Location | 115 E Main St, Worthington, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922108943
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 3476874058
- Enrollment ID: I20150608002082
Medical Identifiers
Medical identifiers for Dr Todd Edward Stipp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922108943 | NPI | - | NPPES |
12009046 | Other | IN | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12009046 (Indiana) | Primary |
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 Todd Edward Stipp 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 |
Dr Todd Edward Stipp, DDS 115 E Main St, Worthington, IN 47471-1602 Ph: (812) 875-2988 | Dr Todd Edward Stipp, DDS 115 E Main St, Worthington, IN 47471-1602 Ph: (812) 875-2988 |
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