Ashley Marmon, FNP-C - Medicare Nurse Practitioner in Havana, IL

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Ashley Marmon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Havana, Illinois. Her current practice location is 12528 Sr 78, Havana, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 543-4253.

Ashley Marmon is licensed to practice in Illinois (license number 363LF0000X) 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 1174902696.

Contact Information

Ashley Marmon, FNP-C
12528 Sr 78,
Havana, IL 62644-6866
(309) 543-4253
(309) 543-1060

Map and Direction




Provider's Profile

Full NameAshley Marmon
GenderFemale
SpecialityNurse Practitioner - Family
Location12528 Sr 78, Havana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174902696
  • Provider Enumeration Date: 05/29/2015
  • Last Update Date: 05/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0143534800
  • Enrollment ID: I20150810000221

Medical Identifiers

Medical identifiers for Ashley Marmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174902696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 363LF0000X (Illinois)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 Marmon allows following entities to bill medicare on her behalf.
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NamePekin Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245355411
PECOS PAC ID: 4789676438
Enrollment ID: O20040401000798
Entity NameEpss Peoria Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831421056
PECOS PAC ID: 1850587007
Enrollment ID: O20101130000569
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265966048
PECOS PAC ID: 1355259714
Enrollment ID: O20170828003194
Entity NameEpss Llc - Central Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538680467
PECOS PAC ID: 6204192016
Enrollment ID: O20171110002604

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 Marmon 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 AddressPractice Location Address
Ashley Marmon, FNP-C
1301 W Jefferson St, Apt 26 E,
Morton, IL 61550-1378

Ph: (309) 265-5345		Ashley Marmon, FNP-C
12528 Sr 78,
Havana, IL 62644-6866

Ph: (309) 543-4253

Reviews and Comments


Nurse Practitioner Nurses in Havana, IL

Kali Troxell, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Marsha R Kirchner, CF-NP
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Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 309-543-2089
Rachel Lynn Davenport, PMHNP
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Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 866-950-0270
Kaitlyn Lee Fields, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Chase Holtman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 309-543-2089
Jenna Elizabeth Ishmael, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.