Samuel M Kippenberger, PA-C - Medicare Physician Assistant in Springfield, VT

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Samuel M Kippenberger, PA-C is a medicare enrolled "Physician Assistant" in Springfield, Vermont. He graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Intensive Care Consortium Inc and his current practice location is 25 Ridgewood Rd, Esne/springfield Hospital Emergency Department, Springfield, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 885-7540.

Samuel M Kippenberger is licensed to practice in Vermont (license number 055.0031092) 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 1003138181.

Contact Information

Samuel M Kippenberger, PA-C
25 Ridgewood Rd, Esne/springfield Hospital Emergency Department,
Springfield, VT 05156-3050
(802) 885-7540
Not Available

Map and Direction




Provider's Profile

Full NameSamuel M Kippenberger
GenderMale
SpecialityPhysician Assistant
Experience17 Years
Location25 Ridgewood Rd, Springfield, Vermont
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:
  • Samuel M Kippenberger graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1003138181
  • Provider Enumeration Date: 02/17/2010
  • Last Update Date: 10/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496880643
  • Enrollment ID: I20100313000005

Medical Identifiers

Medical identifiers for Samuel M Kippenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003138181NPI-NPPES
30337990MedicaidNH
9000464MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 055.0031092 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Catholic Medical CenterManchester, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intensive Care Consortium Inc0244269413485

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. Samuel M Kippenberger allows following entities to bill medicare on his behalf.
Entity NameCatholic Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427154335
PECOS PAC ID: 6103897129
Enrollment ID: O20040803001720
Entity NameIntensive Care Consortium Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629019062
PECOS PAC ID: 0244269413
Enrollment ID: O20150915000034

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. Samuel M Kippenberger 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
Samuel M Kippenberger, PA-C
25 Ridgewood Rd, Esne/springfield Hospital Emergency Department,
Springfield, VT 05156-3050

Ph: (802) 885-7540		Samuel M Kippenberger, PA-C
25 Ridgewood Rd, Esne/springfield Hospital Emergency Department,
Springfield, VT 05156-3050

Ph: (802) 885-7540

Reviews and Comments


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Eric K Jacobson, PA
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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.