Timothy Shipp, - Medicare Physician Assistant in Austin, AR

Timothy Shipp, is a medicare enrolled "Physician Assistant" in Austin, Arkansas. His current practice location is 23 Sioux Dr, Austin, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 412-8234.

Timothy Shipp is licensed to practice in * (Not Available) (license number ) 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 1780938951.

Contact Information

Timothy Shipp,
23 Sioux Dr,
Austin, AR 72007-9635
(501) 412-8234
Not Available



Provider's Profile

Full NameTimothy Shipp
GenderMale
SpecialityPhysician Assistant
Location23 Sioux Dr, Austin, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780938951
  • Provider Enumeration Date: 11/08/2012
  • Last Update Date: 11/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466698980
  • Enrollment ID: I20130429000148

Medical Identifiers

Medical identifiers for Timothy Shipp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780938951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Timothy Shipp 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 AddressPractice Location Address
Timothy Shipp,
23 Sioux Dr,
Austin, AR 72007-9635

Ph: () -
Timothy Shipp,
23 Sioux Dr,
Austin, AR 72007-9635

Ph: (501) 412-8234

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