Jason Edwards, LICENSED DIETITIAN is a
Dietitian, Registered based in Salem, Missouri. Jason Edwards is licensed to practice in Missouri (license number 2006001960) and his current practice location is
Hwy 72 North, Salem, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 729-6626.
NPI number for Jason Edwards is 1467586222 and his current mailing address is Po Box 774, Hwy 72 North, Salem, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467586222.
Healthcare Provider's Profile
| Full Name | Jason Edwards |
|---|
| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | Hwy 72 North, Salem, Missouri |
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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: 1467586222
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jason Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467586222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2006001960 (Missouri) | 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. Jason Edwards 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 |
|---|
Jason Edwards, LICENSED DIETITIAN
Po Box 774, Hwy 72 North,
Salem, MO 65560-0774
Ph: (573) 729-6626 | Jason Edwards, LICENSED DIETITIAN
Hwy 72 North,
Salem, MO 65560-0774
Ph: (573) 729-6626 |
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