Trenten James Dippold, PA is a
Physician Assistant based in Russell, Pennsylvania. Trenten James Dippold is licensed to practice in Arizona (license number 10657) and his current practice location is
25 Williams St, Russell, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 706-5074.
NPI number for Trenten James Dippold is 1700618790 and his current mailing address is 25 Williams St, Russell, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700618790.
Provider's Profile
Full Name | Trenten James Dippold |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 25 Williams St, Russell, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700618790
- Provider Enumeration Date: 08/17/2024
- Last Update Date: 09/23/2024
Medical Identifiers
Medical identifiers for Trenten James Dippold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700618790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 10657 (Arizona) | 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. Trenten James Dippold 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 |
Trenten James Dippold, PA 25 Williams St, Russell, PA 16345-1127 Ph: (814) 706-5074 | Trenten James Dippold, PA 25 Williams St, Russell, PA 16345-1127 Ph: (814) 706-5074 |
Reviews and Comments