Knichole Leanne Tripp, APRN, FNP-BC is a medicare enrolled "General Practice" physician in Goreville, Illinois. Her current practice location is
211 N Broadway, Goreville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 995-1002.
Knichole Leanne Tripp is licensed to practice in Illinois (license number 2023004504) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487359394.
Physician's Profile
Full Name | Knichole Leanne Tripp |
---|
Gender | Female |
---|
Speciality | General Practice |
---|
Location | 211 N Broadway, Goreville, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487359394
- Provider Enumeration Date: 03/31/2023
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244699767
- Enrollment ID: I20230630002414
Medical Identifiers
Medical identifiers for Knichole Leanne Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487359394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 2023004504 (Illinois) | 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. Knichole Leanne Tripp allows following entities to bill medicare on her behalf.
Entity Name | Rural Health, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1982666384 PECOS PAC ID: 6800705427 Enrollment ID: O20040518000240 |
---|
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. Knichole Leanne Tripp 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 |
Knichole Leanne Tripp, APRN, FNP-BC 715 Webb Town Rd, Tunnel Hill, IL 62972-3016 Ph: (618) 771-6178 | Knichole Leanne Tripp, APRN, FNP-BC 211 N Broadway, Goreville, IL 62939-2323 Ph: (618) 995-1002 |
Reviews and Comments