| Dr Derek Foster Ipsen, DO | |
|
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | |
| (808) 433-2460 | |
| (808) 433-1558 |
| Full Name | Dr Derek Foster Ipsen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 26 Years |
| Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477532299 | NPI | - | NPPES |
| 1477532299 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2001004848 (Missouri) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | O-1368 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Foster Ipsen, DO 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 | Dr Derek Foster Ipsen, DO 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 |
Dr. Sean Patrick Kelly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-5815 | |
Dr. Thomas Brian Lynch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd Fl Hi968592, Tripler Amc, HI 96859 Phone: 808-433-6336 | |
William Bradley Roach, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 888-683-2778 |