Justin Shippen, DO - Medicare Family Practice in Rexburg, ID

Justin Shippen, DO is a medicare enrolled "Family Medicine" physician in Rexburg, Idaho. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Madison Memorial Hospital, Upper Valley Family Medicine Pllc and his current practice location is 450 E Main St, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 356-3691.

Justin Shippen is licensed to practice in Idaho (license number O-1091) 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 1871941724.

Contact Information

Justin Shippen, DO
450 E Main St,
Rexburg, ID 83440-2048
(208) 356-3691
Not Available

Map and Direction




Physician's Profile

Full NameJustin Shippen
GenderMale
SpecialityFamily Practice
Experience8 Years
Location450 E Main St, Rexburg, Idaho
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:
  • Justin Shippen graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1871941724
  • Provider Enumeration Date: 06/01/2016
  • Last Update Date: 04/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698068427
  • Enrollment ID: I20190924000013

Medical Identifiers

Medical identifiers for Justin Shippen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871941724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRO-1579 (Idaho)Secondary
207Q00000XFamily Medicine O-1091 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Madison Memorial HospitalRexburg, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Madison Memorial Hospital418394952214
Upper Valley Family Medicine Pllc91331955488

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. Justin Shippen allows following entities to bill medicare on his behalf.
Entity NameUpper Valley Family Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073697884
PECOS PAC ID: 9133195548
Enrollment ID: O20040908000127
Entity NameMadison Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346643038
PECOS PAC ID: 4183949522
Enrollment ID: O20150206000933

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. Justin Shippen 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
Justin Shippen, DO
450 E Main St,
Rexburg, ID 83440-2048

Ph: (208) 356-3691
Justin Shippen, DO
450 E Main St,
Rexburg, ID 83440-2048

Ph: (208) 356-3691

Reviews and Comments


Family Medicine Doctors in Rexburg, ID

Adriann J Wilcox, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 393 E 2nd N, Rexburg, ID 83440
Phone: 208-356-5401    Fax: 208-356-3111
Corey T Rammell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 393 E 2nd N, Rexburg, ID 83440
Phone: 208-356-3691    
Austin C Gillette,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21 Winn Dr, Rexburg, ID 83440
Phone: 208-881-5222    Fax: 877-441-4715
Kelly L Dustin, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21 Winn Dr, Rexburg, ID 83440
Phone: 208-881-5222    Fax: 877-441-4715
Michael Anderson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 450 E Main St, Rexburg, ID 83440
Phone: 208-356-3691    
Brian Paul Beesley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 37 S 2nd E, Rexburg, ID 83440
Phone: 208-356-0234    Fax: 208-656-8444
Gary R Sena, PA-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 37 S 2nd E, Rexburg, ID 83440
Phone: 208-356-0234    

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.