Jayson Tripp, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Ponte Vedra, Florida. His current practice location is
203 Fort Wade Rd Unit 260, Ponte Vedra, Florida. You can reach out to his office (for appointments etc.) via phone at
(801) 821-2333.
Jayson Tripp is licensed to practice in North Carolina (license number 2020-03587) 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 1578053138.
Healthcare Provider's Profile
| Full Name | Jayson Tripp |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 203 Fort Wade Rd Unit 260, Ponte Vedra, Florida |
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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: 1578053138
- Provider Enumeration Date: 05/18/2018
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981953619
- Enrollment ID: I20220722002616
Medical Identifiers
Medical identifiers for Jayson Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578053138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | S015504 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12306263-1204 (Utah) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0066525 (Colorado) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 009117 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2020-03587 (North Carolina) | 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. Jayson Tripp allows following entities to bill medicare on his behalf.
| Entity Name | Serenity Tms Centers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710492095
PECOS PAC ID: 0840550596
Enrollment ID: O20180129001252 |
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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. Jayson 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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Jayson Tripp, DO
3300 N Triumph Blvd Ste 500,
Lehi, UT 84043-6475
Ph: (844) 692-4100 | Jayson Tripp, DO
203 Fort Wade Rd Unit 260,
Ponte Vedra, FL 32081-5159
Ph: (801) 821-2333 |
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