Ashli Elizabeth Fitzpatrick, MD is a medicare enrolled "Dermatology" physician in Mt Juliet, Tennessee. Her current practice location is
325 Old Pleasant Grove Rd, Mt Juliet, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(629) 255-2495.
Ashli Elizabeth Fitzpatrick is licensed to practice in Tennessee (license number 68195) 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 1003377698.
Physician's Profile
| Full Name | Ashli Elizabeth Fitzpatrick |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 325 Old Pleasant Grove Rd, Mt Juliet, Tennessee |
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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: 1003377698
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 07/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749519056
- Enrollment ID: I20230725000540
Medical Identifiers
Medical identifiers for Ashli Elizabeth Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003377698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 68195 (Tennessee) | 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. Ashli Elizabeth Fitzpatrick allows following entities to bill medicare on her behalf.
| Entity Name | Heritage Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548284060
PECOS PAC ID: 4688651037
Enrollment ID: O20040702000463 |
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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. Ashli Elizabeth Fitzpatrick 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 |
|---|
Ashli Elizabeth Fitzpatrick, MD
222 22nd Ave N,
Nashville, TN 37203-1852
Ph: (629) 255-3486 | Ashli Elizabeth Fitzpatrick, MD
325 Old Pleasant Grove Rd,
Mt Juliet, TN 37122-4493
Ph: (629) 255-2495 |
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