Ashley Suzam Nordstrom, PA-C is a medicare enrolled "Physician Assistant" in Monticello, Georgia. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Jasper Health Services Inc. and her current practice location is
898 College St, Suite A, Monticello, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 468-0988.
Ashley Suzam Nordstrom is licensed to practice in Georgia (license number 005296) 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 1568636306.
Provider's Profile
| Full Name | Ashley Suzam Nordstrom |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 898 College St, Monticello, Georgia |
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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:
- Ashley Suzam Nordstrom graduated from nursing school in 2008
NPI Data:
- NPI Number: 1568636306
- Provider Enumeration Date: 04/14/2008
- Last Update Date: 01/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 8022187665
- Enrollment ID: I20080521000863
Medical Identifiers
Medical identifiers for Ashley Suzam Nordstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568636306 | NPI | - | NPPES |
| 003141276A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 005296 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jasper Health Services Inc. | 7214901230 | 5 |
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 Suzam Nordstrom 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 Suzam Nordstrom, PA-C
898 College St, Suite A,
Monticello, GA 31064-1258
Ph: (706) 468-0988 | Ashley Suzam Nordstrom, PA-C
898 College St, Suite A,
Monticello, GA 31064-1258
Ph: (706) 468-0988 |
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