Medical Edge Healthcare Group Pa is a
Family Medicine based in Dallas, Texas. Medical Edge Healthcare Group Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is
9229 Lyndon B Johnson Fwy Ste 250, Dallas, Texas. It can be reached at their office (for appointments etc.) via phone at
(972) 739-3001.
NPI number for Medical Edge Healthcare Group Pa is 1639122021 and their current mailing address is 9229 Lyndon B Johnson Fwy Ste 250, Dallas, Texas. Medical Edge Healthcare Group Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1639122021.
Healthcare Provider's Profile
| Full Name | Medical Edge Healthcare Group Pa |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 9229 Lyndon B Johnson Fwy Ste 250, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639122021
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 09/16/2011
Medical Identifiers
Medical identifiers for Medical Edge Healthcare Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639122021 | NPI | - | NPPES |
| 081500301 | Medicaid | TX | |
| 081500302 | Medicaid | TX | |
| 200384001 | Medicaid | TX | |
| 0046AZ | Other | TX | BCBS |
| 0099BH | Other | TX | BCBS |
| 186985102 | Medicaid | TX | |
| 081500315 | Medicaid | TX | |
| 081500316 | Medicaid | TX | |
| 00516N | Other | TX | BCBS |
| 186985101 | Medicaid | TX | |
| 186985103 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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. Medical Edge Healthcare Group Pa 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 |
|---|
Medical Edge Healthcare Group Pa
9229 Lyndon B Johnson Fwy Ste 250,
Dallas, TX 75243-4403
Ph: (972) 739-3001 | Medical Edge Healthcare Group Pa
9229 Lyndon B Johnson Fwy Ste 250,
Dallas, TX 75243-4403
Ph: (972) 739-3001 |
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