Mrs Ashley Diane Fanning, PT in Woodward, OK - Medicare Physical Therapist Provider

Mrs Ashley Diane Fanning, PT is a medicare enrolled "Physical Therapist" provider in Woodward, Oklahoma. Her current practice location is 1125 40th St Ste D, Woodward, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 201-0204.

Mrs Ashley Diane Fanning is licensed to practice in Oklahoma (license number 4211) 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 1952745002.

Contact Information

	Mrs Ashley Diane Fanning, PT
	1125 40th St Ste D, Woodward, OK 73801-1700
	(405) 201-0204
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Ashley Diane Fanning
Gender	Female
Speciality	Physical Therapist
Location	1125 40th St Ste D, Woodward, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952745002
Provider Enumeration Date: 04/19/2013
Last Update Date: 04/19/2013

Medicare PECOS Information:

PECOS PAC ID: 6204062649
Enrollment ID: I20131113001625

Medical Identifiers

Medical identifiers for Mrs Ashley Diane Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952745002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4211 (Oklahoma)	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 Ashley Diane Fanning allows following entities to bill medicare on her behalf.

Provider Name	Northwest Physical Therapy And Sports Rehab, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497067771 PECOS PAC ID: 7113102294 Enrollment ID: O20110505000315

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 Ashley Diane Fanning 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 Ashley Diane Fanning, PT 2800 Oak Hollow Rd, Woodward, OK 73801-7126 Ph: (405) 201-0204	Mrs Ashley Diane Fanning, PT 1125 40th St Ste D, Woodward, OK 73801-1700 Ph: (405) 201-0204

Reviews and Comments

Physical Therapist in Woodward, OK

Jai A Barby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 40th St, Suite D, Woodward, OK 73801 Phone: 580-256-2102 Fax: 580-256-1410
Dr. Michelle Anne Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1011 Texas St, Woodward, OK 73801 Phone: 580-205-2035 Fax: 580-205-2038
Choice Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Oklahoma Ave Ste 200, Woodward, OK 73801 Phone: 405-229-7840
Mr. Donald Joseph Lauderdale I, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1723 Kansas Ave, Woodward, OK 73801 Phone: 580-256-4050 Fax: 580-256-4072
Jordan Ross, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2630 Oklahoma Ave, Woodward, OK 73801 Phone: 580-256-2102 Fax: 580-256-1410
Shannon Rose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2630 Oklahoma Ave, Woodward, OK 73801 Phone: 580-256-2102 Fax: 580-256-1410
Mr. Matthew J Harrington, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 40th St, Suite D, Woodward, OK 73801 Phone: 580-256-2102 Fax: 580-256-1410

Mrs Ashley Diane Fanning, PT - Medicare Physical Therapist in Woodward, OK