Ariel Brantley-dalglish, CNM is a medicare enrolled "Advanced Practice Midwife" in Auburn, Washington. Her current practice location is
1 E Main St Ste 100, Auburn, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 690-3480.
Ariel Brantley-dalglish is licensed to practice in Washington (license number AP61088603) 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 1003287749.
Provider's Profile
| Full Name | Ariel Brantley-dalglish |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1 E Main St Ste 100, Auburn, Washington |
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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: 1003287749
- Provider Enumeration Date: 10/07/2015
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294022638
- Enrollment ID: I20220603001108
Medical Identifiers
Medical identifiers for Ariel Brantley-dalglish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003287749 | NPI | - | NPPES |
| 500713679 | Medicaid | OR | |
| 2162681 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 201606806NP-PP (Oregon) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP61088603 (Washington) | Primary |
| 163W00000X | Registered Nurse | RN61088584 (Washington) | Secondary |
| 163W00000X | Registered Nurse | 201407145RN (Oregon) | Secondary |
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. Ariel Brantley-dalglish allows following entities to bill medicare on her behalf.
| Entity Name | Franciscan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789 |
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| Entity Name | Valley Medical Group-renton |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619209574
PECOS PAC ID: 4183753965
Enrollment ID: O20100604000113 |
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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. Ariel Brantley-dalglish 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 |
|---|
Ariel Brantley-dalglish, CNM
1 E Main St Ste 100,
Auburn, WA 98002-4905
Ph: (425) 690-3480 | Ariel Brantley-dalglish, CNM
1 E Main St Ste 100,
Auburn, WA 98002-4905
Ph: (425) 690-3480 |
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