Ashley Brooke Bozarth, CRNP is a medicare enrolled "Internal Medicine" physician in Altoona, Alabama. Her current practice location is
7130 6th Ave, Altoona, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 589-1092.
Ashley Brooke Bozarth is licensed to practice in Alabama (license number 1-187487) 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 1184439184.
Physician's Profile
| Full Name | Ashley Brooke Bozarth |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 7130 6th Ave, Altoona, Alabama |
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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: 1184439184
- Provider Enumeration Date: 02/08/2025
- Last Update Date: 02/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810413242
- Enrollment ID: I20250429002612
Medical Identifiers
Medical identifiers for Ashley Brooke Bozarth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184439184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 1-187487 (Alabama) | 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 Brooke Bozarth allows following entities to bill medicare on her behalf.
| Entity Name | Southern Divine Family Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104456920
PECOS PAC ID: 0648692582
Enrollment ID: O20200622002415 |
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| Entity Name | Gana Holdings, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396375267
PECOS PAC ID: 3476978412
Enrollment ID: O20200807000386 |
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| Entity Name | Magnolia Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851976054
PECOS PAC ID: 9931508439
Enrollment ID: O20210714000568 |
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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 Brooke Bozarth 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 Brooke Bozarth, CRNP
Po Box 35,
Altoona, AL 35952-0035
Ph: () - | Ashley Brooke Bozarth, CRNP
7130 6th Ave,
Altoona, AL 35952-9052
Ph: (205) 589-1092 |
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