Dr Gary S Kipp, MD | |
1061 Harmon Ave, Fort Stewart, GA 31314-5674 | |
(912) 435-6965 | |
Not Available |
Full Name | Dr Gary S Kipp |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1061 Harmon Ave, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104865377 | NPI | - | NPPES |
00938748A | Medicaid | GA | |
003774800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME110454 (Florida) | Primary |
Entity Name | Los Alamos Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750330510 PECOS PAC ID: 4587661541 Enrollment ID: O20061104000041 |
Mailing Address | Practice Location Address |
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Dr Gary S Kipp, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5674 Ph: (912) 435-6965 | Dr Gary S Kipp, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5674 Ph: (912) 435-6965 |
Teki Susan Hegwood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Jose Enrique Melendez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6331 | |
Dr. Ruth H Duda, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Ms. Roslyn C Banks-jackson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Tommy Neal Ginn, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave # 1d03, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Dr. Robert Lawrence Iii, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6965 |