Mr Jake Bradley Lipps, is a
Nurse Anesthetist, Certified Registered based in Ponchatoula, Louisiana. Mr Jake Bradley Lipps is licensed to practice in Louisiana (license number 236041) and his current practice location is
40068 Davis Dr, Ponchatoula, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(985) 974-9687.
NPI number for Mr Jake Bradley Lipps is 1659985596 and his current mailing address is 40068 Davis Dr, Ponchatoula, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659985596.
Provider's Profile
Full Name | Mr Jake Bradley Lipps |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 40068 Davis Dr, Ponchatoula, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659985596
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 07/11/2024
Medical Identifiers
Medical identifiers for Mr Jake Bradley Lipps such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659985596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 236041 (Louisiana) | 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. Mr Jake Bradley Lipps is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jake Bradley Lipps, 40068 Davis Dr, Ponchatoula, LA 70454-6410 Ph: (985) 974-9687 | Mr Jake Bradley Lipps, 40068 Davis Dr, Ponchatoula, LA 70454-6410 Ph: (985) 974-9687 |
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