Susan Kathleen Tipton, RN NP | |
1524 Mchenry Ave, Suite 445, Modesto, CA 95350-4500 | |
(209) 571-1693 | |
(209) 571-0326 |
Full Name | Susan Kathleen Tipton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1524 Mchenry Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518971217 | NPI | - | NPPES |
14915 | Other | CA | NP |
308602 | Other | CA | RN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 14915 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Susan Kathleen Tipton, RN NP 1524 Mchenry Ave, Suite 445, Modesto, CA 95350-4500 Ph: (209) 548-0114 | Susan Kathleen Tipton, RN NP 1524 Mchenry Ave, Suite 445, Modesto, CA 95350-4500 Ph: (209) 571-1693 |
Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055 | |
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941 | |
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566 | |
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901 | |
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069 | |
Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200 |