Bridgette Leora Spann Edwards, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in East Chicago, Indiana. Her current practice location is
4818 Indianapolis Blvd, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 397-5117.
Bridgette Leora Spann Edwards is licensed to practice in Indiana (license number 34008190A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174667745.
Healthcare Provider's Profile
| Full Name | Bridgette Leora Spann Edwards |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4818 Indianapolis Blvd, East Chicago, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174667745
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 11/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 5193881530
- Enrollment ID: I20190905002446
Medical Identifiers
Medical identifiers for Bridgette Leora Spann Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174667745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000232A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34008190A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bridgette Leora Spann Edwards allows following entities to bill medicare on her behalf.
| Entity Name | Epiphany & Company Counseling Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295206746
PECOS PAC ID: 8527468362
Enrollment ID: O20210615002851 |
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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. Bridgette Leora Spann Edwards is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bridgette Leora Spann Edwards, LCSW, LCAC
4830 Mccook Ave,
East Chicago, IN 46312-3552
Ph: (219) 398-9715 | Bridgette Leora Spann Edwards, LCSW, LCAC
4818 Indianapolis Blvd,
East Chicago, IN 46312-3433
Ph: (219) 397-5117 |
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