Jon M Tippin, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Kalama, Washington. His current practice location is
768 Taylor Rd, Kalama, Washington. You can reach out to his office (for appointments etc.) via phone at
(615) 345-5400.
Jon M Tippin is licensed to practice in Washington (license number 00022815) 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 1073595880.
Physician's Profile
Full Name | Jon M Tippin |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 768 Taylor Rd, Kalama, Washington |
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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: 1073595880
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 02/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466412747
- Enrollment ID: I20160914001867
Medical Identifiers
Medical identifiers for Jon M Tippin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073595880 | NPI | - | NPPES |
37261 | Other | IA | WELLMARK BCBS |
0196147 | Medicaid | IA | |
MD2019-0927 | Other | NM | NEW MEXICO MEDICAL BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | MD2019-0927 (New Mexico) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 23642 (Iowa) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 00022815 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jon M Tippin allows following entities to bill medicare on his behalf.
Entity Name | Remote Neuromonitoring Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124253075 PECOS PAC ID: 1355495961 Enrollment ID: O20160914001771 |
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Entity Name | Sentient Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306204805 PECOS PAC ID: 2668764333 Enrollment ID: O20170117001330 |
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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. Jon M Tippin 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 |
Jon M Tippin, MD 3 Maryland Farms Ste 200, Brentwood, TN 37027-5005 Ph: (615) 345-5400 | Jon M Tippin, MD 768 Taylor Rd, Kalama, WA 98625 Ph: (615) 345-5400 |
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