Individual ProviderRobert HippPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, Philadelphia, PA 19104-4238(215) 662-7355PECOS EnrollmentBased on the most recent information from CMS, provider Robert Hipp 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 5 days ago.Profile DetailsProvider ID1396896312Provider TypeIndividualFull NameHipp, RobertCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date1/16/2007Last Updated6/27/2014Contact InformationPractice LocationPractice Address3400 Spruce St, Philadelphia, PA 19104-4238Phone(215) 662-7355FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, Philadelphia, PA 19104-4238Phone(215) 662-7355FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA052740Pennsylvania