Ashley D Prueitt, PSYD in Upland, CA - Medicare Psychologist Provider

Ashley D Prueitt, PSYD is a medicare enrolled "Psychologist" provider in Upland, California. Her current practice location is 954 W Foothill Blvd Ste A, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 946-4222.

Ashley D Prueitt is licensed to practice in California (license number PSY26650) 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 1548598220.

Contact Information

	Ashley D Prueitt, PSYD
	954 W Foothill Blvd Ste A, Upland, CA 91786-3782
	(909) 946-4222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ashley D Prueitt
Gender	Female
Speciality	Psychologist
Location	954 W Foothill Blvd Ste A, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548598220
Provider Enumeration Date: 11/18/2009
Last Update Date: 01/02/2018

Medicare PECOS Information:

PECOS PAC ID: 6608187190
Enrollment ID: I20150624003293

Medical Identifiers

Medical identifiers for Ashley D Prueitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548598220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY26650 (California)	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 D Prueitt allows following entities to bill medicare on her behalf.

Entity Name	Health Service Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369

Entity Name	Theracare Psychology And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487200515 PECOS PAC ID: 9537593371 Enrollment ID: O20200102001478

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 D Prueitt 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 D Prueitt, PSYD 7014 7th Ave, Hesperia, CA 92345-4426 Ph: () -	Ashley D Prueitt, PSYD 954 W Foothill Blvd Ste A, Upland, CA 91786-3782 Ph: (909) 946-4222

Reviews and Comments

Psychologist in Upland, CA

Barbara Lynn Sanders, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 N Euclid Ave, Upland, CA 91786 Phone: 909-626-5589
Connie Joanne Johnshoy-currie, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 N Euclid Ave, Upland, CA 91786 Phone: 909-981-8282 Fax: 909-981-9511
Dr. Linda Louise Adams, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 N Mountain Ave Ste C, Upland, CA 91786 Phone: 909-579-8100
Mrs. Diana Gutierrez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1771 Patassi Way, Upland, CA 91784 Phone: 760-987-5688
Dr. Sam H. Bouman, PH.D., L.E.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1069 W 22nd St, Upland, CA 91784 Phone: 909-896-8133
Peter Scott Currie, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 N Euclid Ave, Upland, CA 91786 Phone: 909-981-7181 Fax: 909-981-9511
Dr. Robert Kenneth Sawicky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1150 N Mountain Ave, Suite 102a, Upland, CA 91786 Phone: 909-946-4400

Ashley D Prueitt, PSYD - Medicare Psychologist in Upland, CA