Dr Shilo Renae Tippett, PHD is a medicare enrolled "Psychologist" provider in Madras, Oregon. Her current practice location is
480 Ne A St, Madras, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 475-4800.
Dr Shilo Renae Tippett is licensed to practice in Oregon (license number 2217) 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 1932207164.
Healthcare Provider's Profile
Full Name | Dr Shilo Renae Tippett |
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Gender | Female |
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Speciality | Psychologist |
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Location | 480 Ne A St, Madras, Oregon |
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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: 1932207164
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759606510
- Enrollment ID: I20150219000766
Medical Identifiers
Medical identifiers for Dr Shilo Renae Tippett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932207164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2217 (Oregon) | 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. Dr Shilo Renae Tippett allows following entities to bill medicare on her behalf.
Entity Name | St Charles Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
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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. Dr Shilo Renae Tippett 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 |
Dr Shilo Renae Tippett, PHD 480 Ne A St, Madras, OR 97741-1844 Ph: (541) 475-4800 | Dr Shilo Renae Tippett, PHD 480 Ne A St, Madras, OR 97741-1844 Ph: (541) 475-4800 |
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