Mrs Leslie Ann Ethridge, CRNP, FNP - Medicare Nurse Practitioner in Dothan, AL

Mrs Leslie Ann Ethridge, CRNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. Her current practice location is 1450 Ross Clark Cir Ste 400, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 305-0400.

Mrs Leslie Ann Ethridge is licensed to practice in Alabama (license number 1-155435) 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 1639804560.

Contact Information

Mrs Leslie Ann Ethridge, CRNP, FNP
1450 Ross Clark Cir Ste 400,
Dothan, AL 36301-4770
(334) 305-0400
Not Available

Map and Direction




Provider's Profile

Full NameMrs Leslie Ann Ethridge
GenderFemale
SpecialityNurse Practitioner - Family
Location1450 Ross Clark Cir Ste 400, Dothan, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639804560
  • Provider Enumeration Date: 07/25/2022
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618343476
  • Enrollment ID: I20221019000806

Medical Identifiers

Medical identifiers for Mrs Leslie Ann Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639804560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-155435 (Alabama)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. Mrs Leslie Ann Ethridge allows following entities to bill medicare on her behalf.
Entity NameProfessional Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063476836
PECOS PAC ID: 3375574106
Enrollment ID: O20050822001085
Entity NamePulmonary Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912987785
PECOS PAC ID: 8022031475
Enrollment ID: O20060111000817

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. Mrs Leslie Ann Ethridge 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 AddressPractice Location Address
Mrs Leslie Ann Ethridge, CRNP, FNP
1450 Ross Clark Cir Ste 400,
Dothan, AL 36301-4770

Ph: (334) 305-0400
Mrs Leslie Ann Ethridge, CRNP, FNP
1450 Ross Clark Cir Ste 400,
Dothan, AL 36301-4770

Ph: (334) 305-0400

Reviews and Comments


Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway,
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Phone: 334-792-5184    Fax: 334-792-5190
Heather Young, FNP
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Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-836-1212    
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Phone: 334-792-9500    
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Medicare: Medicare Enrolled
Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305
Phone: 334-944-7056    Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 207 Haven Dr, Dothan, AL 36301
Phone: 334-793-3319    Fax: 334-793-2291
Amanda B Imming, CRNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1901 Melba Drive, Dothan, AL 36301
Phone: 334-794-6611    Fax: 334-794-6614
Vickie D Sconyers, CRNP
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Medicare: Medicare Enrolled
Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305
Phone: 334-793-6511    Fax: 334-677-5642

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.