Ashley Lynn Cothron, is a medicare enrolled "Nurse Practitioner" in Clay City, Indiana. Her current practice location is
265 W County Road 850 S, Clay City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 604-0101.
Ashley Lynn Cothron is licensed to practice in Indiana (license number 71015650A) 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 1205698578.
Provider's Profile
| Full Name | Ashley Lynn Cothron |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 265 W County Road 850 S, Clay City, Indiana |
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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: 1205698578
- Provider Enumeration Date: 01/23/2024
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719426972
- Enrollment ID: I20240831000521
Medical Identifiers
Medical identifiers for Ashley Lynn Cothron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205698578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28222473A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71015650A (Indiana) | 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 Lynn Cothron allows following entities to bill medicare on her behalf.
| Entity Name | Brookside Medical Home Visits Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306339742
PECOS PAC ID: 8325389984
Enrollment ID: O20190408002379 |
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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 Lynn Cothron 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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Ashley Lynn Cothron,
4614 Tim Tam Cir,
Indianapolis, IN 46237-2155
Ph: (317) 997-1802 | Ashley Lynn Cothron,
265 W County Road 850 S,
Clay City, IN 47841-8210
Ph: (317) 604-0101 |
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