Ashley Bean
Individual provider Active NPI Surgical Physician Assistant · Hartford, CT
NPI 1134584840 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1134584840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 3534 (CT)
- Practice address
- 114 Woodland St
Department of Surgery
Hartford, CT 06105-1208 - Phone
- (860) 714-5237
- Fax
- (860) 714-8097
- NPI assigned
- Dec 22, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization Inc
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Hospital & facility affiliations
- St Francis Hospital & Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160421001730 | CT | Practitioner - Physician Assistant | 6507165792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients |
Locations
142 Hazard Ave
Enfield, CT 06082
Phone (860) 272-2911
31 Sycamore St
Glastonbury, CT 06033
Phone (860) 409-1507
31 Sycamore St
Ste 202
Glastonbury, CT 06033
Phone (860) 242-3000
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
Interoperability endpoints
- abean2382026@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 3534 | CT | Yes |
Addresses
Primary practice location
114 Woodland St
Department of Surgery
Hartford, CT 06105-1208
Mailing address
114 Woodland St
Department of Surgery
Hartford, CT 06105-1208
Phone (860) 714-6581
Other providers in Hartford, CT
- Alexander Thomas Bayer
- Laurie H Bayer
- Amanda Christine Bays
- Beacon Light Alternative Services
- Bridget B Beahn
- Karen M Beattie
- Zoe Beausoleil
- Janice Eileen Beazley
- Leslie A Bebb
- Rohini Ruth Becherl
All providers in Hartford, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.