Dr Kent Russell Edwards Jr, | |
401 Mulberry St Sw Ste 202, Lenoir, NC 28645-5463 | |
(828) 757-6464 | |
(828) 757-6424 |
Full Name | Dr Kent Russell Edwards Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 8 Years |
Location | 401 Mulberry St Sw Ste 202, Lenoir, North Carolina |
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 |
---|---|---|---|
1730530502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | LL39777 (South Carolina) | Secondary |
208800000X | Urology | 2020-04205 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Catawba Valley Medical Center | Hickory, NC | Hospital |
Frye Regional Medical Center | Hickory, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Viewmont Urology Clinic, Pa | 6002890704 | 6 |
Entity Name | Caldwell Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
Entity Name | Viewmont Urology Clinic, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962435529 PECOS PAC ID: 6002890704 Enrollment ID: O20040617001385 |
Entity Name | Caldwell Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376983171 PECOS PAC ID: 5395646970 Enrollment ID: O20130829000616 |
Mailing Address | Practice Location Address |
---|---|
Dr Kent Russell Edwards Jr, 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 Ph: (843) 792-3072 | Dr Kent Russell Edwards Jr, 401 Mulberry St Sw Ste 202, Lenoir, NC 28645-5463 Ph: (828) 757-6464 |
Dr. Ralph H. Duckett, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 Mulberry St Sw Ste 210, Lenoir, NC 28645 Phone: 828-757-6431 Fax: 828-757-6432 | |
Dr. David O Cook, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 Mulberry St Sw Ste 210, Lenoir, NC 28645 Phone: 828-757-6431 Fax: 828-757-6432 |