Timothy Shipp, PA-C - Medicare Physician Assistant in Little Rock Afb, AR

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Timothy Shipp, PA-C is a medicare enrolled "Physician Assistant" in Little Rock Afb, Arkansas. His current practice location is 101 Msgt Dan Wassom Road, Little Rock Afb, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 987-6951.

Timothy Shipp is licensed to practice in Arkansas (license number PA-500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780938951.

Contact Information

Timothy Shipp, PA-C
101 Msgt Dan Wassom Road,
Little Rock Afb, AR 72099-0001
(501) 987-6951
Not Available

Map and Direction




Provider's Profile

Full NameTimothy Shipp
GenderMale
SpecialityPhysician Assistant
Location101 Msgt Dan Wassom Road, Little Rock Afb, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780938951
  • Provider Enumeration Date: 11/08/2012
  • Last Update Date: 07/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466698980
  • Enrollment ID: I20130429000148

Medical Identifiers

Medical identifiers for Timothy Shipp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780938951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-500 (Arkansas)Primary

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. Timothy Shipp allows following entities to bill medicare on his behalf.
Entity NameSt Vincent Infirmary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316991847
PECOS PAC ID: 5698674166
Enrollment ID: O20040103000052
Entity NameConway Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417024662
PECOS PAC ID: 3173428414
Enrollment ID: O20050825001031
Entity NameForrest City Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497080501
PECOS PAC ID: 0648319624
Enrollment ID: O20091204000091
Entity NameSoutheast Arkansas Emergency Physicians LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647
Entity NameFaulkner Emergency Group, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083279533
PECOS PAC ID: 1557694049
Enrollment ID: O20190617000848
Entity NameShiloh Emergency Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205458189
PECOS PAC ID: 6901228154
Enrollment ID: O20200617002064

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. Timothy Shipp 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
Timothy Shipp, PA-C
101 Msgt Dan Wassom Road,
Little Rock Afb, AR 72099-0001

Ph: (501) 987-6951		Timothy Shipp, PA-C
101 Msgt Dan Wassom Road,
Little Rock Afb, AR 72099-0001

Ph: (501) 987-6951

Reviews and Comments


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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.