Aundrea Jill Tipton, CNP | |
280 Pattonsville Road, Jackson, OH 45640 | |
(740) 395-8805 | |
(740) 395-8855 |
Full Name | Aundrea Jill Tipton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 280 Pattonsville Road, Jackson, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518975945 | NPI | - | NPPES |
2503606 | Other | OH | MOLINA MEDICAID |
2503606 | Medicaid | OH | |
310917085080 | Other | OH | OH MEDICAID CARESOURCE |
001714158 | Other | MOUNTAIN STATE BCBS | |
7103239000 | Medicaid | WV | |
P00122714 | Other | RR MEDICARE | |
000000204789 | Other | OH | UNISON MEDICAID |
000000342883 | Other | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 57516 (West Virginia) | Secondary |
363L00000X | Nurse Practitioner | 299137 (Ohio) | Primary |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Aundrea Jill Tipton, CNP 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 | Aundrea Jill Tipton, CNP 280 Pattonsville Road, Jackson, OH 45640 Ph: (740) 395-8805 |
Hannah Grace Mcdonald, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 E Main St Ste 4, Jackson, OH 45640 Phone: 740-577-3527 | |
April S. Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Burlington Rd, Jackson, OH 45640 Phone: 740-288-4625 Fax: 740-395-8506 | |
Neesha Smith, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 740-395-8805 Fax: 740-395-8855 | |
Kip Wayne Bryant, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Burlington Rd Ste 240, Jackson, OH 45640 Phone: 740-286-5075 Fax: 740-395-8411 | |
Shelley Renee Webb, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 W Mitchell St, Jackson, OH 45640 Phone: 740-418-6958 | |
Sarah Rachel Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14395 State Rt 93, Jackson, OH 45640 Phone: 740-288-7681 Fax: 740-288-7682 | |
Mrs. Susan Marie Lykins, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Veterans Dr, Jackson, OH 45640 Phone: 740-395-8090 |