Dr Harold Stuart Edmiston, DO is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Germantown, Ohio. His current practice location is
2320 Beechwood Dr, Germantown, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 895-4092.
Dr Harold Stuart Edmiston is licensed to practice in Ohio (license number 34 003987) 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 1881728905.
Physician's Profile
| Full Name | Dr Harold Stuart Edmiston |
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| Gender | Male |
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| Speciality | Family Medicine - Geriatric Medicine |
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| Location | 2320 Beechwood Dr, Germantown, Ohio |
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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: 1881728905
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921196932
- Enrollment ID: I20071108000389
Medical Identifiers
Medical identifiers for Dr Harold Stuart Edmiston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881728905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | 02004237A (Indiana) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 34 003987 (Ohio) | 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 Harold Stuart Edmiston allows following entities to bill medicare on his behalf.
| Entity Name | Providence Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972533149
PECOS PAC ID: 2860386349
Enrollment ID: O20040215000006 |
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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. Dr Harold Stuart Edmiston 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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Dr Harold Stuart Edmiston, DO
2320 Beechwood Dr,
Germantown, OH 45327-9462
Ph: (937) 895-4092 | Dr Harold Stuart Edmiston, DO
2320 Beechwood Dr,
Germantown, OH 45327-9462
Ph: (937) 895-4092 |
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