Mrs Ashlyn Renate Mccullough, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Harrison, Ohio. Her current practice location is
10450 New Haven Rd Ste 5, Harrison, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 981-5852.
Mrs Ashlyn Renate Mccullough is licensed to practice in Ohio (license number APRN.CNP.0034605) 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 1417737867.
Physician's Profile
Full Name | Mrs Ashlyn Renate Mccullough |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10450 New Haven Rd Ste 5, Harrison, Ohio |
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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: 1417737867
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638515356
- Enrollment ID: I20240315001517
Medical Identifiers
Medical identifiers for Mrs Ashlyn Renate Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417737867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | APRN.CNP.0034605 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0034605 (Ohio) | 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. Mrs Ashlyn Renate Mccullough allows following entities to bill medicare on her behalf.
Entity Name | Mercy Health Physicians Cincinnati Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205887023 PECOS PAC ID: 6709790892 Enrollment ID: O20031113000395 |
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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. Mrs Ashlyn Renate Mccullough 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 |
Mrs Ashlyn Renate Mccullough, CNP 10450 New Haven Rd Ste 5, Harrison, OH 45030-2761 Ph: (513) 981-5852 | Mrs Ashlyn Renate Mccullough, CNP 10450 New Haven Rd Ste 5, Harrison, OH 45030-2761 Ph: (513) 981-5852 |
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