Mrs Ashley Marie Fugate, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Niles, Michigan. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeland Community Hospital Watervliet and her current practice location is
2002 S 11th St, Niles, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 687-0200.
Mrs Ashley Marie Fugate is licensed to practice in Michigan (license number 4704268183) 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 1104281583.
Physician's Profile
| Full Name | Mrs Ashley Marie Fugate |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 2002 S 11th St, Niles, Michigan |
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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:
- Mrs Ashley Marie Fugate graduated from medical school in 2015
NPI Data:
- NPI Number: 1104281583
- Provider Enumeration Date: 12/29/2015
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002115045
- Enrollment ID: I20230221000406
Medical Identifiers
Medical identifiers for Mrs Ashley Marie Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104281583 | NPI | - | NPPES |
| 201368160 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 28181495A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 4704268183 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 71006097A (Indiana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 71006097A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71006097A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704268183 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeland Community Hospital Watervliet | 7416942750 | 66 |
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. Mrs Ashley Marie Fugate allows following entities to bill medicare on her behalf.
| Entity Name | Lakeland Community Hospital Watervliet |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538592753
PECOS PAC ID: 7416942750
Enrollment ID: O20131029002202 |
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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. Mrs Ashley Marie Fugate 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 |
|---|
Mrs Ashley Marie Fugate, FNP-BC
2002 S 11th St,
Niles, MI 49120-4074
Ph: () - | Mrs Ashley Marie Fugate, FNP-BC
2002 S 11th St,
Niles, MI 49120-4074
Ph: (269) 687-0200 |
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