Sean M Kipp, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Saint Croix Falls, Wisconsin. His current practice location is
216 S Adams St, Saint Croix Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 483-0241.
Sean M Kipp is licensed to practice in Wisconsin (license number 1313-25) 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 1871118430.
Healthcare Provider's Profile
Full Name | Sean M Kipp |
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Gender | Male |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 216 S Adams St, Saint Croix Falls, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871118430
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 06/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769807288
- Enrollment ID: I20230913001560
Medical Identifiers
Medical identifiers for Sean M Kipp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871118430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1313-25 (Wisconsin) | 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. Sean M Kipp allows following entities to bill medicare on his behalf.
Provider Name | St. Croix Regional Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
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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. Sean M Kipp 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 |
Sean M Kipp, DPM 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3261 | Sean M Kipp, DPM 216 S Adams St, Saint Croix Falls, WI 54024-9449 Ph: (715) 483-0241 |
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