Ashley Dawn Sourjohn, in Claremore, OK - Medicare Nurse Practitioner

Ashley Dawn Sourjohn, is a medicare enrolled "Nurse Practitioner - Family" in Claremore, Oklahoma. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cherokee Nation and her current practice location is 206 E Blue Starr Dr, Claremore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 341-8100.

Ashley Dawn Sourjohn is licensed to practice in Oklahoma (license number F07201695) 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 1144831017.

Contact Information

	Ashley Dawn Sourjohn,
	206 E Blue Starr Dr, Claremore, OK 74017-4223
	(918) 341-8100
	(918) 341-8139

Map and Direction

Provider's Profile

Full Name	Ashley Dawn Sourjohn
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	206 E Blue Starr Dr, Claremore, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ashley Dawn Sourjohn graduated from nursing school in 2020

NPI Data:

NPI Number: 1144831017
Provider Enumeration Date: 08/13/2020
Last Update Date: 08/13/2020

Medicare PECOS Information:

PECOS PAC ID: 1052730355
Enrollment ID: I20211203000957

Medical Identifiers

Medical identifiers for Ashley Dawn Sourjohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144831017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F07201695 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cherokee Nation W W Hastings Indian Hospital	Tahlequah, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cherokee Nation	5799698742	369

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 Dawn Sourjohn allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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 Dawn Sourjohn 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
Ashley Dawn Sourjohn, 206 E Blue Starr Dr, Claremore, OK 74017-4223 Ph: (918) 341-8100	Ashley Dawn Sourjohn, 206 E Blue Starr Dr, Claremore, OK 74017-4223 Ph: (918) 341-8100

Reviews and Comments

Nurse Practitioner Nurses in Claremore, OK

Megan Diane Rasor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Parkland Ave, Claremore, OK 74017 Phone: 918-244-9175
Mrs. Carol Sue Carter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1926 S Highway 66, Claremore, OK 74019 Phone: 918-978-8900
Zachary Luke Meadows, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556
Mrs. Shannon Reavis, ARNP FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21625 E 460 Rd, Claremore, OK 74019 Phone: 918-606-5702
Melissa Nell Gingerich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 N Florence Ave, Claremore, OK 74017 Phone: 918-579-3627
Valerie Mitchell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 N Florence Ave Ste 250, Claremore, OK 74017 Phone: 918-343-8513
Linda A Meredith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017 Phone: 918-342-5432 Fax: 918-342-0835

Ashley Dawn Sourjohn, - Medicare Nurse Practitioner in Claremore, OK