Brooklyn Jo Ayersman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newburg, West Virginia. Her current practice location is
1321 N Mountaineer Hwy, Newburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 892-2812.
Brooklyn Jo Ayersman is licensed to practice in West Virginia (license number APRN73735NP) 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 1134657851.
Provider's Profile
| Full Name | Brooklyn Jo Ayersman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1321 N Mountaineer Hwy, Newburg, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134657851
- Provider Enumeration Date: 05/25/2017
- Last Update Date: 03/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 6204194905
- Enrollment ID: I20180102001273
Medical Identifiers
Medical identifiers for Brooklyn Jo Ayersman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134657851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN73735NP (West Virginia) | 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. Brooklyn Jo Ayersman allows following entities to bill medicare on her behalf.
| Entity Name | Preston Taylor Community Health Centers, Incorporated |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1700819471
PECOS PAC ID: 3072406438
Enrollment ID: O20040209000039 |
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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. Brooklyn Jo Ayersman 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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Brooklyn Jo Ayersman, FNP
25 W Bluemont St,
Grafton, WV 26354-1242
Ph: (304) 265-0312 | Brooklyn Jo Ayersman, FNP
1321 N Mountaineer Hwy,
Newburg, WV 26410-8900
Ph: (304) 892-2812 |
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