Shelby Renee Tipton, DO | |
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
(812) 676-4106 | |
(812) 676-4102 |
Full Name | Shelby Renee Tipton |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083239537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | BP10072222 (Texas) | Secondary |
207R00000X | Internal Medicine | 02007102B (Indiana) | Secondary |
207R00000X | Internal Medicine | 02007102A (Indiana) | Primary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
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Shelby Renee Tipton, DO 2905 N Stone Carver Dr, Bloomington, IN 47404-1415 Ph: (812) 353-5252 | Shelby Renee Tipton, DO 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 676-4106 |
Wai Pok Vernon Chan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4102 Fax: 812-676-4106 | |
Dr. Kevin Edward Zawacki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W. Arch Haven Avenue, Bloomington, IN 47403 Phone: 812-676-4144 Fax: 812-339-8344 | |
Mr. Rana Zouveenoor Tariq, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1312 W Arch Haven Ave, Bloomington, IN 47403 Phone: 812-676-4144 | |
Dr. Samuel W Kimani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-3400 Fax: 812-332-7265 | |
Dr. Simeon Zou, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-676-4460 Fax: 812-355-4092 | |
Ms. Louise Anne Owens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S Madison St, Bloomington, IN 47403 Phone: 812-334-3303 Fax: 812-334-0842 |