Ashli Kubista, RN in Fort Worth, TX - Medicare Registered Nurse

Ashli Kubista, RN is a medicare enrolled "Registered Nurse" in Fort Worth, Texas. Her current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 926-2544.

Ashli Kubista is licensed to practice in Texas (license number 805192) 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 1144943689.

Contact Information

	Ashli Kubista, RN
	1400 8th Ave, Fort Worth, TX 76104-4110
	(817) 926-2544
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashli Kubista
Gender	Female
Speciality	Registered Nurse
Location	1400 8th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144943689
Provider Enumeration Date: 09/20/2022
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4981077807
Enrollment ID: I20230223002260

Medical Identifiers

Medical identifiers for Ashli Kubista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144943689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	1099339 (Texas)	Secondary
163W00000X	Registered Nurse	805192 (Texas)	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. Ashli Kubista allows following entities to bill medicare on her behalf.

Entity Name	Pediatrix Medical Group Of Texas Billing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264

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. Ashli Kubista 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
Ashli Kubista, RN 10350 Trail Ridge Dr, Benbrook, TX 76126-9526 Ph: (817) 805-7766	Ashli Kubista, RN 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (817) 926-2544

Reviews and Comments

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Ashli Kubista, RN - Medicare Registered Nurse in Fort Worth, TX