Ashley Marissa Craddock, FNP in Horn Lake, MS

Ashley Marissa Craddock, FNP is a medicare enrolled "Nurse Practitioner - Family" in Horn Lake, Mississippi. Her current practice location is 3102 Goodman Rd W, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 342-6676.

Ashley Marissa Craddock is licensed to practice in Mississippi (license number R882607) 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 1851780597.

Contact Information

	Ashley Marissa Craddock, FNP
	3102 Goodman Rd W, Horn Lake, MS 38637-1172
	(662) 342-6676
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashley Marissa Craddock
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3102 Goodman Rd W, Horn Lake, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851780597
Provider Enumeration Date: 01/19/2015
Last Update Date: 01/19/2015

Medicare PECOS Information:

PECOS PAC ID: 9830417385
Enrollment ID: I20150413000982

Medical Identifiers

Medical identifiers for Ashley Marissa Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851780597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R882607 (Mississippi)	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 Marissa Craddock allows following entities to bill medicare on her behalf.

Entity Name	Southeast Urology Network Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376699546 PECOS PAC ID: 3779501390 Enrollment ID: O20051102000835

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 Marissa Craddock 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 Marissa Craddock, FNP 3102 Goodman Rd W, Horn Lake, MS 38637-1172 Ph: (662) 342-6676	Ashley Marissa Craddock, FNP 3102 Goodman Rd W, Horn Lake, MS 38637-1172 Ph: (662) 342-6676

Reviews and Comments

Nurse Practitioner Nurses in Horn Lake, MS

Mrs. Carrie James Worsham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3102 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-6677 Fax: 662-342-1213
Mrs. Lanissa Danielle Odor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Goodman Rd W, Suite 50, Horn Lake, MS 38637 Phone: 662-253-8459 Fax: 662-253-8678
Tekela Lashay Campbell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3224 Latimer Court Cv, Horn Lake, MS 38637 Phone: 662-417-5655
Angie Crow, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6935 Windchase Dr, Horn Lake, MS 38637 Phone: 662-404-0715
Dr. Stephanie White, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-393-8022
Mrs. Rachel Ellen Litterer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-230-3420

Ashley Marissa Craddock, FNP - Medicare Nurse Practitioner in Horn Lake, MS