Victoria Tripp, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Michigan. Her current practice location is
7095 Epping Dr, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 474-6031.
Victoria Tripp is licensed to practice in Ohio (license number APRN.CRNA.0020668) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285206268.
Provider's Profile
| Full Name | Victoria Tripp |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 7095 Epping Dr, Canton, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285206268
- Provider Enumeration Date: 07/11/2021
- Last Update Date: 11/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486023553
- Enrollment ID: I20221212002488
Medical Identifiers
Medical identifiers for Victoria Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285206268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704356428 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020668 (Ohio) | 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. Victoria Tripp allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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. Victoria Tripp 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 |
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Victoria Tripp, RN
7095 Epping Dr,
Canton, MI 48187-2724
Ph: () - | Victoria Tripp, RN
7095 Epping Dr,
Canton, MI 48187-2724
Ph: (734) 474-6031 |
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