Elisabeth Kaye Edgar, is a
Psychologist based in Stockton, California. Elisabeth Kaye Edgar is licensed to practice in California (license number PSY27599) and her current practice location is
7707 Austin Rd, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 814-1939.
NPI number for Elisabeth Kaye Edgar is 1952579633 and her current mailing address is 2577 San Pablo Ave, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952579633.
Healthcare Provider's Profile
Full Name | Elisabeth Kaye Edgar |
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Gender | Female |
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Speciality | Psychologist |
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Location | 7707 Austin Rd, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952579633
- Provider Enumeration Date: 02/14/2008
- Last Update Date: 03/22/2023
Medical Identifiers
Medical identifiers for Elisabeth Kaye Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952579633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PSY27599 (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. Elisabeth Kaye Edgar 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 |
Elisabeth Kaye Edgar, 2577 San Pablo Ave, Oakland, CA 94612-1159 Ph: (510) 446-7180 | Elisabeth Kaye Edgar, 7707 Austin Rd, Stockton, CA 95215-8312 Ph: (209) 814-1939 |
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