Mr Ashton C Vidrine, APRN, PMHNP-BC, LMSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Baton Rouge, Louisiana. His current practice location is
689 E Airport Ave Ste 3, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 268-1412.
Mr Ashton C Vidrine is licensed to practice in Louisiana (license number 202801) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487402855.
Healthcare Provider's Profile
Full Name | Mr Ashton C Vidrine |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 689 E Airport Ave Ste 3, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487402855
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123540549
- Enrollment ID: I20250314002783
Medical Identifiers
Medical identifiers for Mr Ashton C Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487402855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 12373 (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202801 (Louisiana) | 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. Mr Ashton C Vidrine allows following entities to bill medicare on his behalf.
Entity Name | Vidrine Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245036540 PECOS PAC ID: 7214459635 Enrollment ID: O20250314001968 |
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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. Mr Ashton C Vidrine 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 |
Mr Ashton C Vidrine, APRN, PMHNP-BC, LMSW 689 E Airport Ave Ste 3, Baton Rouge, LA 70806-6557 Ph: (225) 268-1412 | Mr Ashton C Vidrine, APRN, PMHNP-BC, LMSW 689 E Airport Ave Ste 3, Baton Rouge, LA 70806-6557 Ph: (225) 268-1412 |
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