Ms Ashleigh Catherine Ebreneyin, in Charleston, WV - Medicare Student in an Organized Health Care Education/Training Program

Ms Ashleigh Catherine Ebreneyin, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Charleston, West Virginia. Her current practice location is 2300 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (800) 995-4682.

Ms Ashleigh Catherine Ebreneyin 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 1235872375.

Contact Information

	Ms Ashleigh Catherine Ebreneyin,
	2300 Maccorkle Ave Se, Charleston, WV 25304-1045
	(800) 995-4682
	Not Available

Provider's Profile

Full Name	Ms Ashleigh Catherine Ebreneyin
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	2300 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235872375
Provider Enumeration Date: 04/17/2022
Last Update Date: 04/17/2022

Medicare PECOS Information:

PECOS PAC ID: 0648648907
Enrollment ID: I20221118000166

Medical Identifiers

Medical identifiers for Ms Ashleigh Catherine Ebreneyin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235872375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Ms Ashleigh Catherine Ebreneyin 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
Ms Ashleigh Catherine Ebreneyin, 430 Silver Maple Rdg Apt 4, Charleston, WV 25306-1134 Ph: () -	Ms Ashleigh Catherine Ebreneyin, 2300 Maccorkle Ave Se, Charleston, WV 25304-1045 Ph: (800) 995-4682

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Ms Ashleigh Catherine Ebreneyin, - Medicare Student in an Organized Health Care Education/Training Program in Charleston, WV