Dr Keith Wilson Edmonds, EDD, LPC in Evans, GA

Dr Keith Wilson Edmonds, EDD, LPC is a medicare enrolled "Counselor - Professional" provider in Evans, Georgia. His current practice location is 1202 Town Park Ln Ste 300, Evans, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 210-8855.

Dr Keith Wilson Edmonds is licensed to practice in Georgia (license number LPC004579) 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 1073844395.

Contact Information

	Dr Keith Wilson Edmonds, EDD, LPC
	1202 Town Park Ln Ste 300, Evans, GA 30809-3477
	(706) 210-8855
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith Wilson Edmonds
Gender	Male
Speciality	Counselor - Professional
Location	1202 Town Park Ln Ste 300, Evans, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073844395
Provider Enumeration Date: 01/26/2010
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1355750936
Enrollment ID: I20240709001833

Medical Identifiers

Medical identifiers for Dr Keith Wilson Edmonds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073844395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC004579 (Georgia)	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. Dr Keith Wilson Edmonds allows following entities to bill medicare on his behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Dr Keith Wilson Edmonds 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
Dr Keith Wilson Edmonds, EDD, LPC 1120 15th St, Ste Bi1056, Augusta, GA 30912-0004 Ph: (706) 721-3813	Dr Keith Wilson Edmonds, EDD, LPC 1202 Town Park Ln Ste 300, Evans, GA 30809-3477 Ph: (706) 210-8855

Reviews and Comments

Counselor in Evans, GA

Dr. Yulanda Williams, EDD, LPC, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4453 Mcmanus Ct, Evans, GA 30809 Phone: 706-799-1549 Fax: 706-869-1954
Mrs. Kristen M Dietert, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 927 Hunting Horn Way W, Evans, GA 30809 Phone: 585-474-6278
Meagan Philip, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 706-833-4895 Fax: 844-590-5819
Mr. Benjamin Hinote, MS, LPC, NCC, CPCS Counselor Medicare: Medicare Enrolled Practice Location: 622 Ponder Place Dr Ste 2, Evans, GA 30809 Phone: 706-471-0603 Fax: 706-480-6617
Rhoda Kimble-wheeler, CADC II, CCJP, US DO Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Laniers Way, Evans, GA 30809 Phone: 912-755-7257
Mrs. Benedicta N Ejindu, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 Wells Dr, Evans, GA 30809 Phone: 912-541-2801

Dr Keith Wilson Edmonds, EDD, LPC - Medicare Counselor in Evans, GA