Clint Edwards, is a medicare enrolled "Social Worker - Clinical" provider in Yucca Valley, California. His current practice location is
58811 Santa Barbara Dr, Yucca Valley, California. You can reach out to his office (for appointments etc.) via phone at
(760) 702-6188.
Clint Edwards is licensed to practice in California (license number 106487) 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 1821467705.
Healthcare Provider's Profile
Full Name | Clint Edwards |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 58811 Santa Barbara Dr, Yucca Valley, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821467705
- Provider Enumeration Date: 09/21/2015
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799144184
- Enrollment ID: I20230703001308
Medical Identifiers
Medical identifiers for Clint Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821467705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 95-2225798 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 106487 (California) | 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. Clint 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 |
Clint Edwards, 58811 Santa Barbara Dr, Yucca Valley, CA 92284-6459 Ph: (760) 702-6188 | Clint Edwards, 58811 Santa Barbara Dr, Yucca Valley, CA 92284-6459 Ph: (760) 702-6188 |
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