Dr Derek Foster Ipsen, DO | |
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | |
(808) 433-2460 | |
(808) 433-1558 |
Full Name | Dr Derek Foster Ipsen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 26 Years |
Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477532299 | NPI | - | NPPES |
1477532299 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2001004848 (Missouri) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | O-1368 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
Entity Name | St Lukes Clinic - Wood River Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Foster Ipsen, DO 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 | Dr Derek Foster Ipsen, DO 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 |
Dr. Sean Patrick Kelly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-5815 | |
William Bradley Roach, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 888-683-2778 |