Dr Jack Owens Sipperley, MD - Medicare Ophthalmology in Phoenix, AZ

Dr Jack Owens Sipperley, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Phoenix, Arizona. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Barnet Dulaney Perkins Eye Center, Pc and his current practice location is 4800 N 22nd St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 955-1000.

Dr Jack Owens Sipperley is licensed to practice in Arizona (license number 16167) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235130402.

Contact Information

Dr Jack Owens Sipperley, MD
4800 N 22nd St,
Phoenix, AZ 85016-4701
(602) 955-1000
(602) 508-4830

Map and Direction




Physician's Profile

Full NameDr Jack Owens Sipperley
GenderMale
SpecialityOphthalmology
Experience53 Years
Location4800 N 22nd St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jack Owens Sipperley attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1971
  NPI Data:
  • NPI Number: 1235130402
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 05/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395631923
  • Enrollment ID: I20040728001358

Medical Identifiers

Medical identifiers for Dr Jack Owens Sipperley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235130402NPI-NPPES
285412MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 16167 (Arizona)Secondary
207WX0107XOphthalmology - Retina Specialist 16167 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Havasu Regional Medical CenterLake havasu city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Barnet Dulaney Perkins Eye Center, Pc074928829895

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 Jack Owens Sipperley allows following entities to bill medicare on his behalf.
Entity NameSouthwestern Eye Center, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063187
PECOS PAC ID: 1850296989
Enrollment ID: O20031203000181
Entity NameBarnet Dulaney Perkins Eye Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349

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 Jack Owens Sipperley 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
Dr Jack Owens Sipperley, MD
4800 N 22nd St,
Phoenix, AZ 85016-4701

Ph: (602) 955-1000
Dr Jack Owens Sipperley, MD
4800 N 22nd St,
Phoenix, AZ 85016-4701

Ph: (602) 955-1000

Reviews and Comments


Ophthalmology Doctors in Phoenix, AZ

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Phone: 602-933-3937    Fax: 602-933-2409

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.