Alan Matthew Tripp, DO | |
1413 N Elm St, Suite 204, Henderson, KY 42420-2768 | |
(270) 830-9973 | |
(270) 830-9975 |
Full Name | Alan Matthew Tripp |
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Gender | Male |
Speciality | Surgery |
Location | 1413 N Elm St, Henderson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396829925 | NPI | - | NPPES |
201119270 | Medicaid | IN | |
00000793150 | Other | IN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 04032 (Kentucky) | Primary |
208600000X | Surgery | 02004102A (Indiana) | Secondary |
208600000X | Surgery | 1876 (Tennessee) | Secondary |
Entity Name | Methodist Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 |
Mailing Address | Practice Location Address |
---|---|
Alan Matthew Tripp, DO 1305 N Elm St, Henderson, KY 42420-2783 Ph: (270) 631-2412 | Alan Matthew Tripp, DO 1413 N Elm St, Suite 204, Henderson, KY 42420-2768 Ph: (270) 830-9973 |
Ricardo Barrios Maddela, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1413 N Elm St, Suite 206, Henderson, KY 42420 Phone: 270-826-9595 Fax: 270-826-3656 | |
Amber N Koon, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1413 N Elm St Ste 204, Henderson, KY 42420 Phone: 270-830-9973 Fax: 270-830-9975 | |
Mr. Frank K Sewell Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1305 North Elm St, Henderson, KY 42420 Phone: 270-631-2399 | |
Dr. Jonathon Rogers, MD Surgery Medicare: Medicare Enrolled Practice Location: 1413 N Elm St Ste 204, Henderson, KY 42420 Phone: 937-208-4953 |