Christina Jocklene Edwards, AGPCNP-C is a medicare enrolled "Nurse Practitioner" physician in Columbia, South Carolina. Her current practice location is
2750 Laurel St Ste 103, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 865-4934.
Christina Jocklene Edwards is licensed to practice in South Carolina (license number 28779) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013753243.
Physician's Profile
| Full Name | Christina Jocklene Edwards |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2750 Laurel St Ste 103, Columbia, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013753243
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688038938
- Enrollment ID: I20241022002592
Medical Identifiers
Medical identifiers for Christina Jocklene Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013753243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 28779 (South Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 28779 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 28779 (South Carolina) | 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. Christina Jocklene Edwards allows following entities to bill medicare on her behalf.
| Entity Name | Musc Community Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388 |
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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. Christina Jocklene 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 |
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Christina Jocklene Edwards, AGPCNP-C
172 Hunters Mill Ln,
West Columbia, SC 29170-1279
Ph: (843) 240-3041 | Christina Jocklene Edwards, AGPCNP-C
2750 Laurel St Ste 103,
Columbia, SC 29204-2023
Ph: (803) 865-4934 |
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