Ashlie L Payne, NP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Brookhaven, Mississippi. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kings Daughters Medical Center and her current practice location is
427 Highway 51 N, Brookhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(018) 336-0116.
Ashlie L Payne is licensed to practice in Mississippi (license number 904913) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063183275.
Physician's Profile
| Full Name | Ashlie L Payne |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 427 Highway 51 N, Brookhaven, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashlie L Payne graduated from medical school in 2021
NPI Data:
- NPI Number: 1063183275
- Provider Enumeration Date: 09/27/2021
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456745140
- Enrollment ID: I20220222002726
Medical Identifiers
Medical identifiers for Ashlie L Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063183275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 904913 (Mississippi) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 904913 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kings Daughters Medical Center | 3072575539 | 46 |
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. Ashlie L Payne allows following entities to bill medicare on her behalf.
| Entity Name | Kings Daughters Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174 |
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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. Ashlie L Payne 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 |
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Ashlie L Payne, NP
427 Highway 51 N,
Brookhaven, MS 39601-2350
Ph: (601) 522-9129 | Ashlie L Payne, NP
427 Highway 51 N,
Brookhaven, MS 39601-2350
Ph: (018) 336-0116 |
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