Individual ProviderWilliam TippetsAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address911 W. 5th Ave., Spokane, WA 99204(509) 455-7844(813) 281-8115PECOS EnrollmentBased on the most recent information from CMS, provider William Tippets is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1295773737Provider TypeIndividualFull NameTippets, WilliamTitleDr.CredentialD.O., MBAGenderMaleSole ProprietorNoEnumeration Date6/4/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address911 W. 5th Ave., Spokane, WA 99204Phone(509) 455-7844Fax(509) 623-0415Mailing LocationMailing AddressPO Box 8500 Lockbox 7642, Philadelphia, PA 19178-7642Phone(813) 281-8115Fax(813) 281-8656Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseOP60744732WashingtonCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseH0062904MarylandCode207LP2900XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseH0062904MarylandCode207LP3000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseDH0062904MarylandCode207LP3000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseOP60744732WashingtonProvider IdentifiersIDDescriptionIssuerID4083466DescriptionMedicaidIssuerUnlistedMaryland