Dr Edward Dee Vickers Sr, DC is a
Chiropractor - Radiology based in Clewiston, Florida. Dr Edward Dee Vickers Sr is licensed to practice in Florida (license number CH0001488) and his current practice location is
905 W Ventura Ave, Clewiston, Florida. He can be reached at his office (for appointments etc.) via phone at
(863) 983-8391.
NPI number for Dr Edward Dee Vickers Sr is 1568486777 and his current mailing address is 905 W Ventura Ave, Clewiston, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568486777.
Healthcare Provider's Profile
| Full Name | Dr Edward Dee Vickers Sr |
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| Gender | Male |
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| Speciality | Chiropractor - Radiology |
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| Location | 905 W Ventura Ave, Clewiston, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568486777
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 08/03/2010
Medical Identifiers
Medical identifiers for Dr Edward Dee Vickers Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568486777 | NPI | - | NPPES |
| 89525 | Other | FL | BLUE CROSS/ BLUE SHIELD |
| 380116100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0200X | Chiropractor - Radiology | CH0001488 (Florida) | 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. Dr Edward Dee Vickers Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edward Dee Vickers Sr, DC
905 W Ventura Ave,
Clewiston, FL 33440-3411
Ph: (863) 983-8391 | Dr Edward Dee Vickers Sr, DC
905 W Ventura Ave,
Clewiston, FL 33440-3411
Ph: (863) 983-8391 |
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