Mrs Olivia Ashurst Cockrell, is a medicare enrolled "Physician Assistant - Medical" in Greenville, Alabama. Her current practice location is
300 N College St, Greenville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 382-2681.
Mrs Olivia Ashurst Cockrell is licensed to practice in * (Not Available) (license number ) 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 1124730437.
Provider's Profile
| Full Name | Mrs Olivia Ashurst Cockrell |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 300 N College St, Greenville, Alabama |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1124730437
- Provider Enumeration Date: 12/19/2022
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931549631
- Enrollment ID: I20240429001469
Medical Identifiers
Medical identifiers for Mrs Olivia Ashurst Cockrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124730437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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 Olivia Ashurst Cockrell allows following entities to bill medicare on her behalf.
| Entity Name | LV Stabler Primary Care LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1871003533
PECOS PAC ID: 7719246586
Enrollment ID: O20180124002028 |
|---|
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 Olivia Ashurst Cockrell 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 |
|---|
Mrs Olivia Ashurst Cockrell,
222 N Oliver St,
Greenville, AL 36037-2024
Ph: (251) 510-0994 | Mrs Olivia Ashurst Cockrell,
300 N College St,
Greenville, AL 36037-2025
Ph: (334) 382-2681 |
Reviews and Comments