Miss Ashley Gardon, LMFT in De Pere, WI - Medicare Marriage & Family Therapist Provider

Miss Ashley Gardon, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in De Pere, Wisconsin. Her current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Miss Ashley Gardon is licensed to practice in Wisconsin (license number 984-124) 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 1376889709.

Contact Information

	Miss Ashley Gardon, LMFT
	3860 Monroe Rd, De Pere, WI 54115-8399
	(920) 496-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Ashley Gardon
Gender	Female
Speciality	Marriage & Family Therapist
Location	3860 Monroe Rd, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376889709
Provider Enumeration Date: 12/12/2012
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2365892999
Enrollment ID: I20231222001671

Medical Identifiers

Medical identifiers for Miss Ashley Gardon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376889709	NPI	-	NPPES
100027764	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4101007303 (Michigan)	Secondary
106H00000X	Marriage & Family Therapist	MF001486 (Pennsylvania)	Secondary
106H00000X	Marriage & Family Therapist	984-124 (Wisconsin)	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. Miss Ashley Gardon allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Miss Ashley Gardon 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
Miss Ashley Gardon, LMFT Po Box 122, Peshtigo, WI 54157-0122 Ph: (715) 513-6401	Miss Ashley Gardon, LMFT 3860 Monroe Rd, De Pere, WI 54115-8399 Ph: (920) 496-4700

Reviews and Comments

Marriage & Family Therapist in De Pere, WI

Danielle Casper, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Mr. Mark R Eklund, LCSW,MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270
Kathleen Barrow, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Patrick J Stumbras, PSYD Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Kristina K Hunter, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Ms. Vanessa Lynn Knippel, M.A., LMFT 53937 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1141 W Main Ave Ste 201, De Pere, WI 54115 Phone: 920-338-1610 Fax: 920-338-1616

Miss Ashley Gardon, LMFT - Medicare Couples Therapy in De Pere, WI