| Trevor Tippets Dpm Llc | |
|
1750 13th St Se, Salem, OR 97302-2542 | |
| (503) 588-8188 | |
| (503) 588-0884 |
| Full Name | Trevor Tippets Dpm Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 1750 13th St Se, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124661517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Trevor Tippets |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477931244 PECOS PAC ID: 0840597910 Enrollment ID: I20180705001095 |
| Provider Name | Sean M Westover |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285080556 PECOS PAC ID: 4486980612 Enrollment ID: I20190725003285 |
| Provider Name | Bryce J Rich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972030187 PECOS PAC ID: 5092146928 Enrollment ID: I20200511000296 |
| Provider Name | Natalia Josephine Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609375500 PECOS PAC ID: 5890047088 Enrollment ID: I20201123000369 |
| Provider Name | Brent Beirdneau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417303637 PECOS PAC ID: 7719274703 Enrollment ID: I20220521000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Tippets Dpm Llc 1750 13th St Se, Salem, OR 97302-2542 Ph: (503) 588-8188 | Trevor Tippets Dpm Llc 1750 13th St Se, Salem, OR 97302-2542 Ph: (503) 588-8188 |
James E. Lisle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3474 Liberty Rd S, Salem, OR 97302 Phone: 503-588-8188 Fax: 503-588-0884 | |
John T. Callahan, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2235 Mission St Se Ste 150, Salem, OR 97302 Phone: 503-581-2505 Fax: 503-581-2515 | |
Advanced Foot Clinic, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1475 Commercial St Se, Salem, OR 97302 Phone: 503-932-0885 Fax: 503-625-8638 | |
Sean Westover, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1750 13th St Se, Salem, OR 97302 Phone: 503-588-8188 Fax: 503-588-0884 | |
Michael Jackson Matthews, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-367-5400 | |
Richard W. Peffley, Dpm, A Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 350 Miller St Se, Salem, OR 97302 Phone: 503-370-8784 Fax: 503-362-4017 |