Elizabeth Ashley Pennington-tripp, CNM is a medicare enrolled "Advanced Practice Midwife" in Clyde, North Carolina. Her current practice location is
35 Facility Dr, Clyde, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 452-8462.
Elizabeth Ashley Pennington-tripp is licensed to practice in North Carolina (license number CNM812) 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 1194344762.
Provider's Profile
| Full Name | Elizabeth Ashley Pennington-tripp |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 35 Facility Dr, Clyde, North Carolina |
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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: 1194344762
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 12/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921425539
- Enrollment ID: I20211227000025
Medical Identifiers
Medical identifiers for Elizabeth Ashley Pennington-tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194344762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 0024179146 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | CNM812 (North Carolina) | 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. Elizabeth Ashley Pennington-tripp allows following entities to bill medicare on her behalf.
| Entity Name | Dlp Western Carolina Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609281641
PECOS PAC ID: 9032338975
Enrollment ID: O20140908002531 |
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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. Elizabeth Ashley Pennington-tripp 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 |
|---|
Elizabeth Ashley Pennington-tripp, CNM
35 Facility Dr,
Clyde, NC 28721-9438
Ph: () - | Elizabeth Ashley Pennington-tripp, CNM
35 Facility Dr,
Clyde, NC 28721-9438
Ph: (828) 452-8462 |
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