Ashley Bruckenthal, is a medicare enrolled "Social Worker - Clinical" provider in Bethel, Connecticut. Her current practice location is
30 Deepwood Dr, Bethel, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 927-8907.
Ashley Bruckenthal is licensed to practice in * (Not Available) (license number ) 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 1295281178.
Healthcare Provider's Profile
| Full Name | Ashley Bruckenthal |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 30 Deepwood Dr, Bethel, Connecticut |
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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: 1295281178
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 09/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375874001
- Enrollment ID: I20191011000111
Medical Identifiers
Medical identifiers for Ashley Bruckenthal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295281178 | NPI | - | NPPES |
| 1336163963 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | P03381 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Bruckenthal allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
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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 Bruckenthal 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 Bruckenthal, 54 Danbury Rd Ste 337, Ridgefield, CT 06877-4019 Ph: () - | Ashley Bruckenthal, 30 Deepwood Dr, Bethel, CT 06801-1267 Ph: (203) 927-8907 |
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