Ashley Dawn Sourjohn, - Medicare Nurse Practitioner in Claremore, OK

Ashley Dawn Sourjohn, is a medicare enrolled "Nurse Practitioner - Family" in Claremore, Oklahoma. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cherokee Nation and her current practice location is 206 E Blue Starr Dr, Claremore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 341-8100.

Ashley Dawn Sourjohn is licensed to practice in Oklahoma (license number F07201695) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144831017.

Contact Information

Ashley Dawn Sourjohn,
206 E Blue Starr Dr,
Claremore, OK 74017-4223
(918) 341-8100
(918) 341-8139



Provider's Profile

Full NameAshley Dawn Sourjohn
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location206 E Blue Starr Dr, Claremore, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ashley Dawn Sourjohn graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1144831017
  • Provider Enumeration Date: 08/13/2020
  • Last Update Date: 08/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052730355
  • Enrollment ID: I20211203000957

Medical Identifiers

Medical identifiers for Ashley Dawn Sourjohn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144831017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F07201695 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cherokee Nation W W Hastings Indian HospitalTahlequah, OKHospital
Saint Francis Hospital Vinita, IncVinita, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cherokee Nation5799698742329

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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. Ashley Dawn Sourjohn allows following entities to bill medicare on her behalf.
Entity NameCherokee Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628

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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. Ashley Dawn Sourjohn 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
Ashley Dawn Sourjohn,
206 E Blue Starr Dr,
Claremore, OK 74017-4223

Ph: (918) 341-8100
Ashley Dawn Sourjohn,
206 E Blue Starr Dr,
Claremore, OK 74017-4223

Ph: (918) 341-8100

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› Verified 8 days ago


Nurse Practitioner Nurses in Claremore, OK

Megan Diane Rasor,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Parkland Ave, Claremore, OK 74017
Phone: 918-244-9175    
Mrs. Carol Sue Carter, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1926 S Highway 66, Claremore, OK 74019
Phone: 918-978-8900    
Mrs. Shannon Reavis, ARNP FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 21625 E 460 Rd, Claremore, OK 74019
Phone: 918-606-5702    
Melissa Nell Gingerich,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1501 N Florence Ave, Claremore, OK 74017
Phone: 918-579-3627    
Valerie Mitchell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1501 N Florence Ave Ste 250, Claremore, OK 74017
Phone: 918-343-8513    
Linda A Meredith, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017
Phone: 918-342-5432    Fax: 918-342-0835
Arlene Maria Ann Siereveld, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017
Phone: 918-342-5432    Fax: 918-342-0835

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