Calvin Austin Edmundson, LPC in Columbia, SC - Medicare Counselor Provider

Calvin Austin Edmundson, LPC is a medicare enrolled "Counselor - Professional" provider in Columbia, South Carolina. His current practice location is 4605 Monticello Rd Ste 3, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 754-0151.

Calvin Austin Edmundson is licensed to practice in South Carolina (license number 7568) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962014175.

Contact Information

	Calvin Austin Edmundson, LPC
	4605 Monticello Rd Ste 3, Columbia, SC 29203-4156
	(803) 754-0151
	(803) 691-1778

Map and Direction

Healthcare Provider's Profile

Full Name	Calvin Austin Edmundson
Gender	Male
Speciality	Counselor - Professional
Location	4605 Monticello Rd Ste 3, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962014175
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 0840735130
Enrollment ID: I20240710005282

Medical Identifiers

Medical identifiers for Calvin Austin Edmundson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962014175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7568 (South Carolina)	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. Calvin Austin Edmundson allows following entities to bill medicare on his behalf.

Entity Name	Eau Claire Cooperative Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335

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. Calvin Austin Edmundson 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
Calvin Austin Edmundson, LPC 169 Laurelhurst Ave, Columbia, SC 29210-3825 Ph: (803) 733-5969	Calvin Austin Edmundson, LPC 4605 Monticello Rd Ste 3, Columbia, SC 29203-4156 Ph: (803) 754-0151

Reviews and Comments

Counselor in Columbia, SC

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Kinsey Cameron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Gervais St, Columbia, SC 29204 Phone: 803-470-5624

Calvin Austin Edmundson, LPC - Medicare Counselor in Columbia, SC