Jackie Shipman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fredericksburg, Virginia. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. Her current practice location is
12101 Carol Ln Ste 101, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 741-9300.
Jackie Shipman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1487399663.
Physician's Profile
| Full Name | Jackie Shipman |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 5 Years |
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| Location | 12101 Carol Ln Ste 101, Fredericksburg, Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jackie Shipman graduated from medical school in 2021
NPI Data:
- NPI Number: 1487399663
- Provider Enumeration Date: 05/02/2022
- Last Update Date: 01/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 7315440807
- Enrollment ID: I20260125000107
Medical Identifiers
Medical identifiers for Jackie Shipman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487399663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 0101286384 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jackie Shipman 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 |
Jackie Shipman, MD 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102-1015 Ph: (405) 272-7494 | Jackie Shipman, MD 12101 Carol Ln Ste 101, Fredericksburg, VA 22407-6104 Ph: (540) 741-9300 |
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