| Dr Jacob Jipp, MD | |
|
12129 University Ave Ste 100, Clive, IA 50325-8287 | |
| (515) 400-3550 | |
| (515) 400-3551 |
| Full Name | Dr Jacob Jipp |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 12129 University Ave Ste 100, Clive, Iowa |
| 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 |
|---|---|---|---|
| 1164886644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 68255-20 (Wisconsin) | Secondary |
| 208800000X | Urology | MD-48735 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Broadlawns Medical Center | Des moines, IA | Hospital |
| Greene County Medical Center | Jefferson, IA | Hospital |
| Adair County Memorial Hospital | Greenfield, IA | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greene County Medical Center | 0143208595 | 14 |
| Urology Center Of Iowa Pllc | 1658701834 | 20 |
| Broadlawns Medical Center | 3678466166 | 257 |
| Entity Name | Pella Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053369405 PECOS PAC ID: 9931005873 Enrollment ID: O20031210000914 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Entity Name | Adair County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366531345 PECOS PAC ID: 3072403153 Enrollment ID: O20040319001441 |
| Entity Name | Greene County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245260652 PECOS PAC ID: 0143208595 Enrollment ID: O20040712000717 |
| Entity Name | Urology Center Of Iowa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689210155 PECOS PAC ID: 1658701834 Enrollment ID: O20200501000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Jipp, MD 12129 University Ave Ste 200, Clive, IA 50325-8287 Ph: (515) 400-3550 | Dr Jacob Jipp, MD 12129 University Ave Ste 100, Clive, IA 50325-8287 Ph: (515) 400-3550 |
Dr. Stephanie Lynn Courson Pothoven, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 12129 University Ave Ste 100, Clive, IA 50325 Phone: 515-400-3550 Fax: 515-400-3551 | |
Dr. Mccabe Clayton Kenny, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12129 University Ave Ste 100, Clive, IA 50325 Phone: 515-400-3550 | |
Dr. Brian L Gallagher, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12129 University Ave Ste 100, Clive, IA 50325 Phone: 515-400-3550 Fax: 515-400-3551 | |
Dr. Hugh Charles Dick, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1432 Nw 105th St, Clive, IA 50325 Phone: 515-223-0639 | |
Dr. Mark Alvin Kellerman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12129 University Ave Ste 100, Clive, IA 50325 Phone: 515-400-3550 Fax: 515-400-3551 |