Ashley Ferguson, APN is a medicare enrolled "Nurse Practitioner" physician in Bloomington, Illinois. Her current practice location is
2502 E Empire St, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 366-4407.
Ashley Ferguson is licensed to practice in Illinois (license number 277002498) 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 1629586946.
Physician's Profile
Full Name | Ashley Ferguson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2502 E Empire St, Bloomington, Illinois |
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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: 1629586946
- Provider Enumeration Date: 01/22/2018
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113287095
- Enrollment ID: I20180214002473
Medical Identifiers
Medical identifiers for Ashley Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629586946 | NPI | - | NPPES |
209.016909 | Other | IL | ILLINOIS LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 209.016909 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 277002498 (Illinois) | 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 Ferguson allows following entities to bill medicare on her behalf.
Entity Name | Christie Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
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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 Ferguson 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 Ferguson, APN 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-4407 | Ashley Ferguson, APN 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (217) 366-4407 |
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