Ashley Nicole Falco, MD - Medicare Pediatrics in Grosse Pointe Farms, MI

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Ashley Nicole Falco, MD is a medicare enrolled "Pediatrics" physician in Grosse Pointe Farms, Michigan. Her current practice location is 131 Kercheval Ave Ste 10, Grosse Pointe Farms, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 882-7900.

Ashley Nicole Falco is licensed to practice in Michigan (license number 4301115057) 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 1740547991.

Contact Information

Ashley Nicole Falco, MD
131 Kercheval Ave Ste 10,
Grosse Pointe Farms, MI 48236
(313) 882-7900
Not Available

Map and Direction




Physician's Profile

Full NameAshley Nicole Falco
GenderFemale
SpecialityPediatrics
Location131 Kercheval Ave Ste 10, Grosse Pointe Farms, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740547991
  • Provider Enumeration Date: 04/12/2012
  • Last Update Date: 08/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9638428154
  • Enrollment ID: I20180816002131

Medical Identifiers

Medical identifiers for Ashley Nicole Falco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740547991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 279721 (New York)Secondary
208000000XPediatrics 4301115057 (Michigan)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 Nicole Falco allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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 Nicole Falco 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 AddressPractice Location Address
Ashley Nicole Falco, MD
131 Kercheval Ave Ste 10,
Grosse Pointe Farms, MI 48236-3672

Ph: (313) 640-2541		Ashley Nicole Falco, MD
131 Kercheval Ave Ste 10,
Grosse Pointe Farms, MI 48236

Ph: (313) 882-7900

Reviews and Comments


Pediatrics Doctors in Grosse Pointe Farms, MI

Kanthi Sankar Rajan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 131 Kercheval Ave, Grosse Pointe Farms, MI 48236
Phone: 313-882-7900    Fax: 313-640-2253
Gohar Javed Warraich, M.B.B.S.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236
Phone: 313-640-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.