Ashley B Chittenden, CPNP-AC/PC in Southaven, MS

Ashley B Chittenden, CPNP-AC/PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Southaven, Mississippi. Her current practice location is 3480 Avis Ln, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (716) 949-2677.

Ashley B Chittenden is licensed to practice in Tennessee (license number 12180639) 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 1376142943.

Contact Information

	Ashley B Chittenden, CPNP-AC/PC
	3480 Avis Ln, Southaven, MS 38672-2010
	(716) 949-2677
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley B Chittenden
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3480 Avis Ln, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376142943
Provider Enumeration Date: 10/23/2020
Last Update Date: 10/23/2020

Medicare PECOS Information:

PECOS PAC ID: 8426463076
Enrollment ID: I20210212001683

Medical Identifiers

Medical identifiers for Ashley B Chittenden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376142943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	12180639 (Tennessee)	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. Ashley B Chittenden allows following entities to bill medicare on her behalf.

Entity Name	Urgent Care For Children, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205434420 PECOS PAC ID: 0941613871 Enrollment ID: O20210113001648

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. Ashley B Chittenden 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
Ashley B Chittenden, CPNP-AC/PC 3480 Avis Ln, Southaven, MS 38672-2010 Ph: (716) 949-2677	Ashley B Chittenden, CPNP-AC/PC 3480 Avis Ln, Southaven, MS 38672-2010 Ph: (716) 949-2677

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Ashley B Chittenden, CPNP-AC/PC - Medicare Nurse Practitioner in Southaven, MS