Ashley Gallup, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Moore, Oklahoma. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Digestive Disease Specialists Inc and 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
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 1407205347.
Provider's Profile
| Full Name | Ashley Gallup |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 2817 Se 91st St, Moore, Oklahoma |
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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:
- Ashley Gallup graduated from nursing school in 2016
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 |
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| 1407205347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC0200X | Registered Nurse - Critical Care Medicine | R0101320 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101320 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Digestive Disease Specialists Inc | 7315939279 | 45 |
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 |
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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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