Ashley Evonne Lively, in Parkersburg, WV - Medicare Nurse Anesthetist, Certified Registered

Ashley Evonne Lively, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Parkersburg, West Virginia. Her current practice location is 3211 Dudley Ave, Parkersburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 422-3904.

Ashley Evonne Lively is licensed to practice in West Virginia (license number 113971) 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 1841931797.

Contact Information

	Ashley Evonne Lively,
	3211 Dudley Ave, Parkersburg, WV 26104-1813
	(304) 422-3904
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley Evonne Lively
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3211 Dudley Ave, Parkersburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841931797
Provider Enumeration Date: 04/05/2022
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6103201660
Enrollment ID: I20220920000115

Medical Identifiers

Medical identifiers for Ashley Evonne Lively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841931797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	113971 (West Virginia)	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 Evonne Lively allows following entities to bill medicare on her behalf.

Entity Name	United Anesthesia, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477512408 PECOS PAC ID: 6406830256 Enrollment ID: O20040617000953

Entity Name	Camden-clark Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570

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 Evonne Lively 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 Evonne Lively, 601 Avery St Ste 501, Parkersburg, WV 26101-5192 Ph: () -	Ashley Evonne Lively, 3211 Dudley Ave, Parkersburg, WV 26104-1813 Ph: (304) 422-3904

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Parkersburg, WV

Jennifer Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2111
Judy A Cox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924
Julie A Pettit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924
Kristina L Sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924
Shannon R Eddy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924
Daniel N Woodyard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924
Summer Meadows, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-422-3904 Fax: 304-422-3924

Ashley Evonne Lively, - Medicare Nurse Anesthetist, Certified Registered in Parkersburg, WV