Mr Jake Bradley Lipps, - Medicare Nurse Anesthetist, Certified Registered in Ponchatoula, LA

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Mr Jake Bradley Lipps, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ponchatoula, Louisiana. His current practice location is 40068 Davis Dr, Ponchatoula, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 974-9687.

Mr Jake Bradley Lipps is licensed to practice in Louisiana (license number 236041) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659985596.

Contact Information

Mr Jake Bradley Lipps,
40068 Davis Dr,
Ponchatoula, LA 70454-6410
(985) 974-9687
Not Available

Map and Direction




Provider's Profile

Full NameMr Jake Bradley Lipps
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location40068 Davis Dr, Ponchatoula, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659985596
  • Provider Enumeration Date: 09/08/2020
  • Last Update Date: 07/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385188358
  • Enrollment ID: I20240701003375

Medical Identifiers

Medical identifiers for Mr Jake Bradley Lipps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659985596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 236041 (Louisiana)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. Mr Jake Bradley Lipps allows following entities to bill medicare on his behalf.
Entity NameLouisiana State University School Of Medicine In New Orleans Faculty G
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477582526
PECOS PAC ID: 0244136448
Enrollment ID: O20031209000661

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 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 AddressPractice 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

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ponchatoula, LA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.