Ashley Broadwater, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Buffalo Mills, Pennsylvania. Her current practice location is
396 Walker Rd, Buffalo Mills, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 792-5501.
Ashley Broadwater is licensed to practice in Pennsylvania (license number SL016277) 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 1659004372.
Healthcare Provider's Profile
| Full Name | Ashley Broadwater |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 396 Walker Rd, Buffalo Mills, Pennsylvania |
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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: 1659004372
- Provider Enumeration Date: 07/09/2022
- Last Update Date: 07/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587031208
- Enrollment ID: I20221109000035
Medical Identifiers
Medical identifiers for Ashley Broadwater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659004372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SL016277 (Pennsylvania) | 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 Broadwater allows following entities to bill medicare on her behalf.
| Provider Name | Ab Direct Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922731652
PECOS PAC ID: 3678940392
Enrollment ID: O20221109000027 |
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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. Ashley Broadwater 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 Broadwater, CCC-SLP
396 Walker Rd,
Buffalo Mills, PA 15534-1703
Ph: () - | Ashley Broadwater, CCC-SLP
396 Walker Rd,
Buffalo Mills, PA 15534-1703
Ph: (814) 792-5501 |
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