Ashley Fountain, is a
Occupational Therapist based in Homer, Georgia. Ashley Fountain is licensed to practice in Ohio (license number OT009376) and her current practice location is
425 Gardiner Rd, Homer, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 658-7656.
NPI number for Ashley Fountain is 1104122977 and her current mailing address is 425 Gardiner Rd, Homer, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104122977.
Healthcare Provider's Profile
| Full Name | Ashley Fountain |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 425 Gardiner Rd, Homer, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104122977
- Provider Enumeration Date: 01/26/2011
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Ashley Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104122977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT005179 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | OT009376 (Ohio) | 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. Ashley Fountain is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ashley Fountain,
425 Gardiner Rd,
Homer, GA 30547-3006
Ph: () - | Ashley Fountain,
425 Gardiner Rd,
Homer, GA 30547-3006
Ph: (706) 658-7656 |
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