Teejay Grant Tripp, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Ponte Vedra, Florida. His current practice location is
203 Fort Wade Rd Unit 260, Ponte Vedra, Florida. You can reach out to his office (for appointments etc.) via phone at
(801) 821-2333.
Teejay Grant Tripp is licensed to practice in Florida (license number OS19270) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629308424.
Physician's Profile
| Full Name | Teejay Grant Tripp |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 203 Fort Wade Rd Unit 260, Ponte Vedra, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teejay Grant Tripp attended and graduated from in
NPI Data:
- NPI Number: 1629308424
- Provider Enumeration Date: 12/30/2009
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Teejay Grant Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629308424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | CDR.0000580 (Colorado) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 100970 (Alaska) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11583541-1204 (Utah) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 005662 (Arizona) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 19551 (New Hampshire) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | CL0066 (Nevada) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | OS19270 (Florida) | Primary |
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. Teejay Grant 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 |
|---|
Teejay Grant Tripp, DO
3300 N Triumph Blvd Ste 500,
Lehi, UT 84043-6475
Ph: (801) 821-2333 | Teejay Grant Tripp, DO
203 Fort Wade Rd Unit 260,
Ponte Vedra, FL 32081-5159
Ph: (801) 821-2333 |
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