Connor John Tripp, DPT, PT is a medicare enrolled "Physical Therapist" provider in Selma, North Carolina. His current practice location is
1417 S Pollock St, Selma, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 300-5040.
Connor John Tripp is licensed to practice in North Carolina (license number P23731) 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 1194533158.
Healthcare Provider's Profile
Full Name | Connor John Tripp |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1417 S Pollock St, Selma, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194533158
- Provider Enumeration Date: 12/23/2024
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103347687
- Enrollment ID: I20250313000837
Medical Identifiers
Medical identifiers for Connor John Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194533158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | P23731 (North Carolina) | 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. Connor John Tripp allows following entities to bill medicare on his behalf.
Provider Name | Activcare Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
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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. Connor John Tripp 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 |
Connor John Tripp, DPT, PT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Connor John Tripp, DPT, PT 1417 S Pollock St, Selma, NC 27576-3405 Ph: (919) 300-5040 |
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