Shane Andrew Tipton, PA-C is a medicare enrolled "Physician Assistant" physician in Stanford, California. He went to University Of California, Davis School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sonora Community Hospital and his current practice location is
300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at
(650) 723-4000.
Shane Andrew Tipton is licensed to practice in California (license number 17521) 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 1962482877.
Physician's Profile
| Full Name | Shane Andrew Tipton |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 300 Pasteur Dr, Stanford, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shane Andrew Tipton attended and graduated from University Of California, Davis School Of Medicine in 2004
NPI Data:
- NPI Number: 1962482877
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 02/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597725705
- Enrollment ID: I20041012001594
Medical Identifiers
Medical identifiers for Shane Andrew Tipton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962482877 | NPI | - | NPPES |
| OPA175210 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RX0202X | Internal Medicine - Medical Oncology | PA17521 (California) | Secondary |
| 364SE0003X | Clinical Nurse Specialist - Emergency | PA17521 (California) | Secondary |
| 363A00000X | Physician Assistant | 17521 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sonora Community Hospital | 4284538505 | 127 |
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. Shane Andrew Tipton 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 |
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Shane Andrew Tipton, PA-C
300 Pasteur Dr,
Stanford, CA 94305-2200
Ph: (650) 723-4000 | Shane Andrew Tipton, PA-C
300 Pasteur Dr,
Stanford, CA 94305-2200
Ph: (650) 723-4000 |
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