Ashley Marie Randall, APN in Jacksonville, AR

Ashley Marie Randall, APN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Arkansas. Her current practice location is 216 Chigger Valley Rd, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 650-2041.

Ashley Marie Randall is licensed to practice in Arkansas (license number 223830) 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 1114617818.

Contact Information

	Ashley Marie Randall, APN
	216 Chigger Valley Rd, Jacksonville, AR 72076-4158
	(501) 650-2041
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley Marie Randall
Gender	Female
Speciality	Nurse Practitioner - Family
Location	216 Chigger Valley Rd, Jacksonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114617818
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0840656377
Enrollment ID: I20230525001171

Medical Identifiers

Medical identifiers for Ashley Marie Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114617818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	223830 (Arkansas)	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 Marie Randall allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761829 PECOS PAC ID: 7911802079 Enrollment ID: O20110921000137

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 Marie Randall 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 Marie Randall, APN 216 Chigger Valley Rd, Jacksonville, AR 72076-4158 Ph: (501) 650-2041	Ashley Marie Randall, APN 216 Chigger Valley Rd, Jacksonville, AR 72076-4158 Ph: (501) 650-2041

Reviews and Comments

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Ashley Marie Randall, APN - Medicare Nurse Practitioner in Jacksonville, AR