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Ashley Nicole Phillip

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

451 Clarkson Ave, Brooklyn, NY 11203-2054

PECOS Enrollment

This provider is enrolled in PECOS as ASHLEY PHILLIP.

Based on the most recent information from CMS, provider Ashley Nicole Phillip 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 2 days ago.

Profile Details

Provider ID
1609637404
Provider Type
Individual
Full Name
Phillip, Ashley Nicole
Title
Dr.
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/18/2024
Last Updated
2/1/2024

Contact Information

Practice Location

451 Clarkson Ave, Brooklyn, NY 11203-2054

(718) 245-4620

Unlisted Fax

Mailing Location

946 E 106th St, Brooklyn, NY 11236-3012

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 353317 New York
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 732389 New York

Ashley Nicole Phillip

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Blair, Alice M

Mcintyre, Sherene Monifa

Thomas, Oneika

Mendonca, Donna

Mclaughlin, Julieth Faye

Eckert-Norton, Margaret Elise

Simpson, Fruma Ita

Wilfred-Woods, Ursyl

Sherwood, Jeannine Marguerite

Michel, Wilmina