Ashlie Nichole Seale, PMHNP-BC in Fort Worth, TX

Ashlie Nichole Seale, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 3256 Lackland Rd, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 204-5278.

Ashlie Nichole Seale is licensed to practice in Texas (license number 1011545) 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 1912509027.

Contact Information

	Ashlie Nichole Seale, PMHNP-BC
	3256 Lackland Rd, Fort Worth, TX 76116-5307
	(817) 204-5278
	(817) 616-4127

Map and Direction

Provider's Profile

Full Name	Ashlie Nichole Seale
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3256 Lackland Rd, 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: 1912509027
Provider Enumeration Date: 11/13/2020
Last Update Date: 03/26/2026

Medicare PECOS Information:

PECOS PAC ID: 6901244169
Enrollment ID: I20240405003618

Medical Identifiers

Medical identifiers for Ashlie Nichole Seale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912509027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	226050 (Oklahoma)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1011545 (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. Ashlie Nichole Seale allows following entities to bill medicare on her behalf.

Entity Name	Myndfull Care Management Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962271429 PECOS PAC ID: 7315384427 Enrollment ID: O20240326000138

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. Ashlie Nichole Seale 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
Ashlie Nichole Seale, PMHNP-BC 3256 Lackland Rd, Fort Worth, TX 76116-5307 Ph: (817) 204-5278	Ashlie Nichole Seale, PMHNP-BC 3256 Lackland Rd, Fort Worth, TX 76116-5307 Ph: (817) 204-5278

Reviews and Comments

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Ashlie Nichole Seale, PMHNP-BC - Medicare Nurse Practitioner in Fort Worth, TX