Ashley E Eagle, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Qulin, Missouri. Her current practice location is
703 County Road 205, Qulin, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 429-9558.
Ashley E Eagle is licensed to practice in Missouri (license number 2019036136) 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 1225303472.
Provider's Profile
Full Name | Ashley E Eagle |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 703 County Road 205, Qulin, Missouri |
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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: 1225303472
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 09/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719319359
- Enrollment ID: I20191119002973
Medical Identifiers
Medical identifiers for Ashley E Eagle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225303472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2019036136 (Missouri) | 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 E Eagle allows following entities to bill medicare on her behalf.
Entity Name | Clint Lee Vanlandingham |
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Entity Type | Practitioner - Podiatry |
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Entity Identifiers | NPI Number: 1508838566 PECOS PAC ID: 7719961937 Enrollment ID: I20040615001819 |
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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. Ashley E Eagle 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 E Eagle, FNP-BC 703 County Road 205, Qulin, MO 63961-9248 Ph: (573) 429-9558 | Ashley E Eagle, FNP-BC 703 County Road 205, Qulin, MO 63961-9248 Ph: (573) 429-9558 |
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