| Alan Matthew Tripp, DO | |
| 1413 N Elm St, Suite 204, Henderson, KY 42420-2768 | |
| (270) 830-9973 | |
| (270) 830-9975 | 
| Full Name | Alan Matthew Tripp | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 1413 N Elm St, Henderson, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396829925 | NPI | - | NPPES | 
| 201119270 | Medicaid | IN | |
| 00000793150 | Other | IN | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 04032 (Kentucky) | Primary | 
| 208600000X | Surgery | 02004102A (Indiana) | Secondary | 
| 208600000X | Surgery | 1876 (Tennessee) | Secondary | 
| Entity Name | Methodist Health, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alan Matthew Tripp, DO 1305 N Elm St, Henderson, KY 42420-2783 Ph: (270) 631-2412 | Alan Matthew Tripp, DO 1413 N Elm St, Suite 204, Henderson, KY 42420-2768 Ph: (270) 830-9973 | 
| Ricardo Barrios Maddela, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1413 N Elm St, Suite 206, Henderson, KY 42420 Phone: 270-826-9595 Fax: 270-826-3656 | |
| Amber N Koon, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1413 N Elm St Ste 204, Henderson, KY 42420 Phone: 270-830-9973 Fax: 270-830-9975 | |
| Mr. Frank K Sewell Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1305 North Elm St, Henderson, KY 42420 Phone: 270-631-2399 | |
| Dr. Jonathon Rogers, MD Surgery Medicare: Medicare Enrolled Practice Location: 1413 N Elm St Ste 204, Henderson, KY 42420 Phone: 937-208-4953 |