Lauren Ashley Wildrick, CNM is a medicare enrolled "Midwife" in Montgomery, New York. Her current practice location is
30 Lauren Ln, Montgomery, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 258-0665.
Lauren Ashley Wildrick is licensed to practice in New York (license number F00230) 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 1922789593.
Provider's Profile
| Full Name | Lauren Ashley Wildrick |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 30 Lauren Ln, Montgomery, New York |
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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: 1922789593
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638524481
- Enrollment ID: I20231013001025
Medical Identifiers
Medical identifiers for Lauren Ashley Wildrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922789593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 644136 (New York) | Secondary |
| 176B00000X | Midwife | F00230 (New York) | 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. Lauren Ashley Wildrick allows following entities to bill medicare on her behalf.
| Entity Name | Nuvance Health Medical Practice, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437358033
PECOS PAC ID: 1658468442
Enrollment ID: O20071025000436 |
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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. Lauren Ashley Wildrick 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 |
|---|
Lauren Ashley Wildrick, CNM
30 Lauren Ln,
Montgomery, NY 12549-2518
Ph: (845) 258-0665 | Lauren Ashley Wildrick, CNM
30 Lauren Ln,
Montgomery, NY 12549-2518
Ph: (845) 258-0665 |
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