Ashley Gallup, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Moore, Oklahoma. Her current practice location is
2817 Se 91st St, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 371-5729.
Ashley Gallup is licensed to practice in Oklahoma (license number 101320) 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 1407205347.
Provider's Profile
| Full Name | Ashley Gallup |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2817 Se 91st St, Moore, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407205347
- Provider Enumeration Date: 06/10/2016
- Last Update Date: 07/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 0749569960
- Enrollment ID: I20161110002216
Medical Identifiers
Medical identifiers for Ashley Gallup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407205347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WC0200X | Registered Nurse - Critical Care Medicine | R0101320 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101320 (Oklahoma) | 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 Gallup allows following entities to bill medicare on her behalf.
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
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| Entity Name | Digestive Disease Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366489213 PECOS PAC ID: 7315939279 Enrollment ID: O20040331001151 |
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| Entity Name | Ou Health Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
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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. Ashley Gallup 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 Gallup, 2817 Se 91st St, Moore, OK 73160-9123 Ph: (405) 371-5729 | Ashley Gallup, 2817 Se 91st St, Moore, OK 73160-9123 Ph: (405) 371-5729 |
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