Antwanette Elizabeth Edwards, is a
Student In An Organized Health Care Education/training Program based in Pleasant Hill, California. Antwanette Elizabeth Edwards is licensed to practice in * (Not Available) (license number ) and her current practice location is
2387 Lisa Ln, Pleasant Hill, California. She can be reached at her office (for appointments etc.) via phone at
(925) 677-7480.
NPI number for Antwanette Elizabeth Edwards is 1124785134 and her current mailing address is 136 Valdivia Cir, San Ramon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124785134.
Healthcare Provider's Profile
| Full Name | Antwanette Elizabeth Edwards |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2387 Lisa Ln, Pleasant Hill, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124785134
- Provider Enumeration Date: 11/24/2021
- Last Update Date: 06/16/2023
Medical Identifiers
Medical identifiers for Antwanette Elizabeth Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124785134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Antwanette Elizabeth Edwards 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 |
|---|
Antwanette Elizabeth Edwards,
136 Valdivia Cir,
San Ramon, CA 94583-2228
Ph: () - | Antwanette Elizabeth Edwards,
2387 Lisa Ln,
Pleasant Hill, CA 94523-3949
Ph: (925) 677-7480 |
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