Ms Ashley Renee Fidler, PA is a medicare enrolled "Physician Assistant" physician in Fort Myers, Florida. Her current practice location is
13685 Doctors Way Ste 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 343-1176.
Ms Ashley Renee Fidler is licensed to practice in Florida (license number PA9116656) 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 1508582933.
Physician's Profile
| Full Name | Ms Ashley Renee Fidler |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 13685 Doctors Way Ste 100, Fort Myers, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508582933
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042688616
- Enrollment ID: I20221201003276
Medical Identifiers
Medical identifiers for Ms Ashley Renee Fidler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508582933 | NPI | - | NPPES |
| 116383700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | PA9116656 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9116656 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9116656 (Florida) | Primary |
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. Ms Ashley Renee Fidler 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 |
|---|
Ms Ashley Renee Fidler, PA
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (239) 343-1176 | Ms Ashley Renee Fidler, PA
13685 Doctors Way Ste 100,
Fort Myers, FL 33912-4337
Ph: (239) 343-1176 |
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