Dr Kenneth J Edwards, MD | |
183 Peace Blvd, Saint Joseph, MI 49085-9146 | |
(269) 428-3500 | |
Not Available |
Full Name | Dr Kenneth J Edwards |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 40 Years |
Location | 183 Peace Blvd, Saint Joseph, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447239967 | NPI | - | NPPES |
4554025 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301061344 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Homecare | Benton harbor, MI | Home health agency |
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
Ascension Borgess Lee Hospital | Dowagiac, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Medical Practices | 1658427042 | 260 |
Southwest Michigan Center For Orthopaedic And Sports Medicine P | 5890688444 | 14 |
Entity Name | Southwest Michigan Center For Orthopaedic And Sports Medicine P |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104913094 PECOS PAC ID: 5890688444 Enrollment ID: O20040206000083 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth J Edwards, MD 183 Peace Blvd, Saint Joseph, MI 49085-9146 Ph: (269) 428-3500 | Dr Kenneth J Edwards, MD 183 Peace Blvd, Saint Joseph, MI 49085-9146 Ph: (269) 428-3500 |
Dr. Justin Tyler Sybesma, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 183 Peace Blvd, Saint Joseph, MI 49085 Phone: 269-428-3500 Fax: 269-429-6429 | |
Dr. James R Burczak, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 183 Peace Blvd, Saint Joseph, MI 49085 Phone: 269-428-3500 | |
Dr. Joseph Adam Farber, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 183 Peace Blvd, Saint Joseph, MI 49085 Phone: 269-428-3500 | |
Dr. Daniel G. Sohn, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 183 Peace Blvd, Saint Joseph, MI 49085 Phone: 269-428-3500 |