Ms Ashleigh Catherine Ebreneyin, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Charleston, West Virginia. Her current practice location is
2300 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(800) 995-4682.
Ms Ashleigh Catherine Ebreneyin is licensed to practice in * (Not Available) (license number ) 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 1235872375.
Provider's Profile
| Full Name | Ms Ashleigh Catherine Ebreneyin |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2300 Maccorkle Ave Se, Charleston, West Virginia |
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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: 1235872375
- Provider Enumeration Date: 04/17/2022
- Last Update Date: 04/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648648907
- Enrollment ID: I20221118000166
Medical Identifiers
Medical identifiers for Ms Ashleigh Catherine Ebreneyin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235872375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ms Ashleigh Catherine Ebreneyin 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 |
|---|
Ms Ashleigh Catherine Ebreneyin,
430 Silver Maple Rdg Apt 4,
Charleston, WV 25306-1134
Ph: () - | Ms Ashleigh Catherine Ebreneyin,
2300 Maccorkle Ave Se,
Charleston, WV 25304-1045
Ph: (800) 995-4682 |
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