Dr Ashley B O'bannon, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Dyer, Indiana. She went to University Of Louisville School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Michiana Gastroenterology, Inc, Pathology Associates Of Northwest Indiana Inc, Flourish Health Group In Llc and her current practice location is
1160 Joliet St Ste 204, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at
(800) 799-2273.
Dr Ashley B O'bannon is licensed to practice in Indiana (license number 01070948A) 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 1629248711.
Physician's Profile
Full Name | Dr Ashley B O'bannon |
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Gender | Female |
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Speciality | Pathology |
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Experience | 21 Years |
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Location | 1160 Joliet St Ste 204, Dyer, Indiana |
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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. |
Medical Education and Training:
- Dr Ashley B O'bannon attended and graduated from University Of Louisville School Of Medicine in 2003
NPI Data:
- NPI Number: 1629248711
- Provider Enumeration Date: 03/05/2008
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870644982
- Enrollment ID: I20120530000165
Medical Identifiers
Medical identifiers for Dr Ashley B O'bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629248711 | NPI | - | NPPES |
IN3131004 | Other | IN | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 40481 (Kentucky) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01070948A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Michiana Gastroenterology, Inc | 2163529892 | 13 |
Pathology Associates Of Northwest Indiana Inc | 9537436589 | 3 |
Flourish Health Group In Llc | 9537524988 | 2 |
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 B O'bannon allows following entities to bill medicare on her behalf.
Entity Name | Michiana Gastroenterology, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821094525 PECOS PAC ID: 2163529892 Enrollment ID: O20070515000183 |
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Entity Name | Pathology Associates Of Northwest Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134652340 PECOS PAC ID: 9537436589 Enrollment ID: O20170524000425 |
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Entity Name | Flourish Health Group In Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467168252 PECOS PAC ID: 9537524988 Enrollment ID: O20230508002231 |
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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 B O'bannon 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 B O'bannon, MD 1160 Joliet St Ste 204, Dyer, IN 46311-2096 Ph: (800) 799-2273 | Dr Ashley B O'bannon, MD 1160 Joliet St Ste 204, Dyer, IN 46311-2096 Ph: (800) 799-2273 |
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