Trevor Shane Hipp, RDN is a
Dietitian, Registered based in Monticello, New York. Trevor Shane Hipp is licensed to practice in New York (license number 86041583) and his current practice location is
641 Old Route 17, Monticello, New York. He can be reached at his office (for appointments etc.) via phone at
(928) 920-6351.
NPI number for Trevor Shane Hipp is 1174126890 and his current mailing address is 116 Francis Dr, Narrowsburg, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174126890.
Healthcare Provider's Profile
| Full Name | Trevor Shane Hipp |
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| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 641 Old Route 17, Monticello, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174126890
- Provider Enumeration Date: 11/17/2020
- Last Update Date: 11/17/2020
Medical Identifiers
Medical identifiers for Trevor Shane Hipp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174126890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86041583 (New York) | 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. Trevor Shane Hipp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Trevor Shane Hipp, RDN
116 Francis Dr,
Narrowsburg, NY 12764-5728
Ph: (928) 920-6351 | Trevor Shane Hipp, RDN
641 Old Route 17,
Monticello, NY 12701-7014
Ph: (928) 920-6351 |
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