Lyndsay R Shipp Md Pllc | |
705 Sisk Ave Ste 105 Oxford MS 38655-3413 | |
(662) 371-1326 | |
(662) 236-5010 |
Full Name | Lyndsay R Shipp Md Pllc |
---|---|
Speciality | Clinic/Center |
Location | 705 Sisk Ave Ste 105, Oxford, Mississippi |
Authorized Official Name and Position | Jill Olmstead-mccraney (OFFICE MANAGER) |
Authorized Official Contact | 6623711326 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lyndsay R Shipp Md Pllc Po Box 1158 Oxford MS 38655-1158 Ph: (623) 711-3266 | Lyndsay R Shipp Md Pllc 705 Sisk Ave Ste 105 Oxford MS 38655-3413 Ph: (662) 371-1326 |
NPI Number | 1669879532 |
---|---|
Provider Enumeration Date | 11/20/2014 |
Last Update Date | 01/23/2019 |
Medicare PECOS PAC ID | 0648594382 |
---|---|
Medicare Enrollment ID | O20150128001488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669879532 | NPI | - | NPPES |
05408509 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lyndsay R Shipp |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1063724987 PECOS PAC ID: 8527207836 Enrollment ID: I20140806000181 |
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