Shane Lipscomb, in Bristol, PA - Medicare Nurse Practitioner

Shane Lipscomb, is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Pennsylvania. His current practice location is 905 Tower Rd, Bristol, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (443) 383-9300.

Shane Lipscomb is licensed to practice in New Jersey (license number 26NJ01333200) 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 1982471470.

Contact Information

	Shane Lipscomb,
	905 Tower Rd, Bristol, PA 19007-3116
	(443) 383-9300
	Not Available

Map and Direction

Provider's Profile

Full Name	Shane Lipscomb
Gender	Male
Speciality	Nurse Practitioner - Family
Location	905 Tower Rd, Bristol, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982471470
Provider Enumeration Date: 12/05/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0840642831
Enrollment ID: I20240116000152

Medical Identifiers

Medical identifiers for Shane Lipscomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982471470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01333200 (New Jersey)	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. Shane Lipscomb allows following entities to bill medicare on his behalf.

Entity Name	Consonant Healing Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20210511002102

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. Shane Lipscomb 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
Shane Lipscomb, 909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477 Ph: (443) 483-9300	Shane Lipscomb, 905 Tower Rd, Bristol, PA 19007-3116 Ph: (443) 383-9300

Reviews and Comments

Nurse Practitioner Nurses in Bristol, PA

Trinell Copenheaver, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300
Leigh Frangos-li, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Bath Rd, Bristol, PA 19007 Phone: 215-785-9050
Ms. Iris Stendig-raskin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Veterans Hwy, Bristol, PA 19007 Phone: 215-785-4594
Lori Talutto, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300
Angelica Rivera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd # 3188, Bristol, PA 19007 Phone: 443-383-9300
Porsha Barbosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300
Ziem-nop P Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300

Shane Lipscomb, - Medicare Nurse Practitioner in Bristol, PA