Lee Ann Bristow, APRN-CNM, MS is a medicare enrolled "Advanced Practice Midwife" in Apple Creek, Ohio. Her current practice location is
12991 Emerson Rd, Apple Creek, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 857-0177.
Lee Ann Bristow is licensed to practice in Ohio (license number 268563) 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 1124099924.
Provider's Profile
| Full Name | Lee Ann Bristow |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 12991 Emerson Rd, Apple Creek, Ohio |
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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: 1124099924
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 07/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870779341
- Enrollment ID: I20220512002624
Medical Identifiers
Medical identifiers for Lee Ann Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124099924 | NPI | - | NPPES |
| 2137968 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 268563 (Ohio) | 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. Lee Ann Bristow allows following entities to bill medicare on her behalf.
| Entity Name | Daniel J. Cain, D.o., Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619027372
PECOS PAC ID: 1254490857
Enrollment ID: O20081112000145 |
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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. Lee Ann Bristow 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 |
|---|
Lee Ann Bristow, APRN-CNM, MS
12991 Emerson Rd,
Apple Creek, OH 44606-9302
Ph: (330) 857-0177 | Lee Ann Bristow, APRN-CNM, MS
12991 Emerson Rd,
Apple Creek, OH 44606-9302
Ph: (330) 857-0177 |
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