Teejay Grant Tripp, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Ponte Vedra, Florida. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Serenity Tms Centers, Llc, Serenity Tms Centers, Llc, Serenity Tms Centers, Llc, Serenity Tms Centers, Llc, Serenity Tms Centers, Llc, Serenity Tms Centers, Llc and 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 | Psychiatry |
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| Experience | 15 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 Arizona College Of Osteopathic Medicine Mid Western University in 2009
NPI Data:
- NPI Number: 1629308424
- Provider Enumeration Date: 12/30/2009
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658520598
- Enrollment ID: I20121009000426
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Serenity Tms Centers, Llc | 0840550596 | 26 |
| Serenity Tms Centers, Llc | 0840550596 | 26 |
| Serenity Tms Centers, Llc | 0840550596 | 26 |
| Serenity Tms Centers, Llc | 0840550596 | 26 |
| Serenity Tms Centers, Llc | 0840550596 | 26 |
| Serenity Tms Centers, Llc | 0840550596 | 26 |
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. Teejay Grant Tripp allows following entities to bill medicare on his behalf.
| Entity Name | Serenity Tms Centers, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710492095
PECOS PAC ID: 0840550596
Enrollment ID: O20180129001252 |
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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. 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 |
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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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