Angela D Ethridge, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Coxs Creek, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
561 Ethridge Ln, Coxs Creek, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 262-7929.
Angela D Ethridge is licensed to practice in Kentucky (license number 3006302) 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 1619206885.
Provider's Profile
| Full Name | Angela D Ethridge |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 561 Ethridge Ln, Coxs Creek, Kentucky |
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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:
- Angela D Ethridge graduated from nursing school in 2009
NPI Data:
- NPI Number: 1619206885
- Provider Enumeration Date: 12/16/2009
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395888382
- Enrollment ID: I20100129000279
Medical Identifiers
Medical identifiers for Angela D Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619206885 | NPI | - | NPPES |
| 000000746393 | Other | KY | ANTHEM |
| 7100109880 | Medicaid | KY | |
| 50036061 | Other | KY | PASSPORT HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 3006302 (Kentucky) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Hosparus, Inc | Louisville, KY | Hospice |
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. Angela D Ethridge allows following entities to bill medicare on her behalf.
| Entity Name | Angie Ethridge Aprn Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548638240
PECOS PAC ID: 8820306848
Enrollment ID: O20150924001558 |
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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. Angela D Ethridge 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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Angela D Ethridge, ARNP
Po Box 37271,
Belfast, ME 04915-1214
Ph: (888) 488-8289 | Angela D Ethridge, ARNP
561 Ethridge Ln,
Coxs Creek, KY 40013-8857
Ph: (502) 262-7929 |
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