| Tippin Family Medicine Clinic, P. A. | |
|
804 Danark Circle Danville AR 72833-0220 | |
| (479) 495-7300 | |
| (479) 495-7981 |
| Full Name | Tippin Family Medicine Clinic, P. A. |
|---|---|
| Speciality | Family Medicine |
| Location | 804 Danark Circle, Danville, Arkansas |
| Authorized Official Name and Position | Michelle Jean Banning-tippin (OFFICE MANAGER/PHYSCIAN) |
| Authorized Official Contact | 4794957300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tippin Family Medicine Clinic, P. A. 804 Danark Circle P O Box 220 Danville AR 72833-0220 Ph: (479) 495-7300 | Tippin Family Medicine Clinic, P. A. 804 Danark Circle Danville AR 72833-0220 Ph: (479) 495-7300 |
| NPI Number | 1295748960 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 7315831542 |
|---|---|
| Medicare Enrollment ID | O20040210000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295748960 | NPI | - | NPPES |
| 121819002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Phillip Brian Tippin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760451876 PECOS PAC ID: 7810880762 Enrollment ID: I20040204000726 |
| Provider Name | Michelle J Banning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790753929 PECOS PAC ID: 4486680832 Enrollment ID: I20050715001130 |
Chambers Memorial Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Detroit Ave, Danville, AR 72833 Phone: 479-495-2241 Fax: 479-495-6223 | |
Building Blocks Pediatric Therapy, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10668 Lydia Lane, Danville, AR 72833 Phone: 479-495-6326 Fax: 479-495-3336 |