Georgina Ashlock, PHD in Springfield, MO - Medicare Psychologist Provider

Georgina Ashlock, PHD is a medicare enrolled "Psychologist" provider in Springfield, Missouri. Her current practice location is 3800 S National Ave Ste 770, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-6891.

Georgina Ashlock is licensed to practice in Missouri (license number 01703) 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 1194004192.

Contact Information

	Georgina Ashlock, PHD
	3800 S National Ave Ste 770, Springfield, MO 65807-5283
	(417) 269-6891
	(417) 269-5595

Map and Direction

Healthcare Provider's Profile

Full Name	Georgina Ashlock
Gender	Female
Speciality	Psychologist
Location	3800 S National Ave Ste 770, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194004192
Provider Enumeration Date: 08/08/2011
Last Update Date: 10/07/2019

Medicare PECOS Information:

PECOS PAC ID: 6204007560
Enrollment ID: I20110916000056

Medical Identifiers

Medical identifiers for Georgina Ashlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194004192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	01703 (Missouri)	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. Georgina Ashlock allows following entities to bill medicare on her behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356469498 PECOS PAC ID: 1254248917 Enrollment ID: O20040408000380

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073905915 PECOS PAC ID: 5799787784 Enrollment ID: O20150608002749

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. Georgina Ashlock 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
Georgina Ashlock, PHD Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712	Georgina Ashlock, PHD 3800 S National Ave Ste 770, Springfield, MO 65807-5283 Ph: (417) 269-6891

Reviews and Comments

Psychologist in Springfield, MO

Suzanne Pamela Demier, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6891 Fax: 417-269-5595
Jason R Glass, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1312 E Lark St, Springfield, MO 65804 Phone: 417-820-7954
Dr. Robert Duane Forsyth, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4375 E Kingsbury St, Springfield, MO 65809 Phone: 417-882-8393 Fax: 417-886-6778
Ryan Grant Jones, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1864 S Kentwood Ave, Springfield, MO 65804 Phone: 417-880-6838 Fax: 417-374-0074
Dr. Robert Christian Doneski, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Springfield Public Schools, 1610 E Sunshine St., Springfield, MO 65804 Phone: 417-840-4391
Dr. Crystal M Beckham, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5065
Dr. Renae Marie Courtney, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1531 E Bradford Pkwy, Suite 304, Springfield, MO 65804 Phone: 417-888-0861 Fax: 417-888-0857

Georgina Ashlock, PHD - Medicare Psychologist in Springfield, MO