Dr Ashley Kennedy Ibbotson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mansfield, Texas. Her current practice location is
604 Strada Cir, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 453-2400.
Dr Ashley Kennedy Ibbotson is licensed to practice in Texas (license number 38123) 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 1508383589.
Healthcare Provider's Profile
Full Name | Dr Ashley Kennedy Ibbotson |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 604 Strada Cir, Mansfield, Texas |
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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: 1508383589
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365883188
- Enrollment ID: I20240510002423
Medical Identifiers
Medical identifiers for Dr Ashley Kennedy Ibbotson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508383589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 38123 (Texas) | 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. Dr Ashley Kennedy Ibbotson allows following entities to bill medicare on her behalf.
Entity Name | Seema Kazi Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023423514 PECOS PAC ID: 5193040772 Enrollment ID: O20150203001701 |
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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. Dr Ashley Kennedy Ibbotson 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 |
Dr Ashley Kennedy Ibbotson, PHD 604 Strada Cir, Mansfield, TX 76063-3201 Ph: (817) 453-2400 | Dr Ashley Kennedy Ibbotson, PHD 604 Strada Cir, Mansfield, TX 76063-3201 Ph: (817) 453-2400 |
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