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Ashley Marie Stivers

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St, Service Building, Suite 303, Louisville, KY 40202-1831

PECOS Enrollment

This provider is enrolled in PECOS as ASHLEY STIVERS.

Based on the most recent information from CMS, provider Ashley Marie Stivers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1578798294
Provider Type
Individual
Full Name
Stivers, Ashley Marie
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/26/2009
Last Updated
12/2/2016

Contact Information

Practice Location

200 E Chestnut St, Service Building, Suite 303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-6351

(502) 588-9490

(502) 272-5116

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 47621 Kentucky
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 35.099486 Ohio

Provider Identifiers

ID	Description	Issuer
ID 7100303630	Description Medicaid	Issuer Unlisted Kentucky

Ashley Marie Stivers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

University Of Louisville Physicians, Inc.

Matar, Christian

Bricknell, Ryan Aziz Thomas

Young, Jared

Finke-Moreland, Teresa Bernadette

Hannah, Benjamin

Frazier, James Michael

Augenstein, Abigail Claire

Brown, Julianna Rose

Jadav, Parth