Nicholas James Edge, is a
Case Manager/care Coordinator based in South Lake Tahoe, California. Nicholas James Edge is licensed to practice in * (Not Available) (license number ) and his current practice location is
1900 Lake Tahoe Blvd, South Lake Tahoe, California. He can be reached at his office (for appointments etc.) via phone at
(530) 573-7970.
NPI number for Nicholas James Edge is 1770939308 and his current mailing address is 995 Gateway Center Way, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770939308.
Healthcare Provider's Profile
| Full Name | Nicholas James Edge |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1900 Lake Tahoe Blvd, South Lake Tahoe, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770939308
- Provider Enumeration Date: 05/12/2016
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Nicholas James Edge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770939308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Nicholas James Edge 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 |
|---|
Nicholas James Edge,
995 Gateway Center Way,
San Diego, CA 92102-4500
Ph: (619) 398-2196 | Nicholas James Edge,
1900 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6305
Ph: (530) 573-7970 |
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