Ashley Bruckenthal, is a medicare enrolled "Social Worker - Clinical" provider in Bethel, Connecticut. Her current practice location is
30 Deepwood Dr, Bethel, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 927-8907.
Ashley Bruckenthal is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295281178.
Healthcare Provider's Profile
Full Name | Ashley Bruckenthal |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 30 Deepwood Dr, Bethel, Connecticut |
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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: 1295281178
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 09/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375874001
- Enrollment ID: I20191011000111
Medical Identifiers
Medical identifiers for Ashley Bruckenthal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295281178 | NPI | - | NPPES |
1336163963 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | P03381 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Ashley Bruckenthal allows following entities to bill medicare on her behalf.
Entity Name | Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
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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. Ashley Bruckenthal 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 |
Ashley Bruckenthal, 54 Danbury Rd Ste 337, Ridgefield, CT 06877-4019 Ph: () - | Ashley Bruckenthal, 30 Deepwood Dr, Bethel, CT 06801-1267 Ph: (203) 927-8907 |
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