Dr Ashley Kennedy Ibbotson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mansfield, Texas. She graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Seema Kazi Md Pa and her current practice location is
604 Strada Cir, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 453-2400.
Dr Ashley Kennedy Ibbotson is licensed to practice in Texas (license number 38123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508383589.
Healthcare Provider's Profile
| Full Name | Dr Ashley Kennedy Ibbotson |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 604 Strada Cir, Mansfield, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ashley Kennedy Ibbotson graduated from medical school in 2008
NPI Data:
- NPI Number: 1508383589
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365883188
- Enrollment ID: I20240510002423
Medical Identifiers
Medical identifiers for Dr Ashley Kennedy Ibbotson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508383589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 38123 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Seema Kazi Md Pa | 5193040772 | 15 |
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. Dr Ashley Kennedy Ibbotson allows following entities to bill medicare on her behalf.
| Entity Name | Seema Kazi Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023423514
PECOS PAC ID: 5193040772
Enrollment ID: O20150203001701 |
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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. Dr Ashley Kennedy Ibbotson 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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Dr Ashley Kennedy Ibbotson, PHD
604 Strada Cir,
Mansfield, TX 76063-3201
Ph: (817) 453-2400 | Dr Ashley Kennedy Ibbotson, PHD
604 Strada Cir,
Mansfield, TX 76063-3201
Ph: (817) 453-2400 |
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