Dr Kevin Keith Edwards, is a medicare enrolled "Obstetrics & Gynecology" physician in Xenia, Ohio. His current practice location is
121 S Progress Dr, Xenia, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 376-9731.
Dr Kevin Keith Edwards is licensed to practice in Ohio (license number 35.134175) 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 1750676565.
Physician's Profile
| Full Name | Dr Kevin Keith Edwards |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 121 S Progress Dr, Xenia, 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: 1750676565
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 03/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840610101
- Enrollment ID: I20201026003109
Medical Identifiers
Medical identifiers for Dr Kevin Keith Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750676565 | NPI | - | NPPES |
| 0421915 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35.134175 (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 Kevin Keith Edwards allows following entities to bill medicare on his behalf.
| Entity Name | Premier Health Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010 |
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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 Kevin Keith 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 |
|---|
Dr Kevin Keith Edwards,
3170 Kettering Blvd Bldg B3,
Moraine, OH 45439-1924
Ph: (937) 991-3188 | Dr Kevin Keith Edwards,
121 S Progress Dr,
Xenia, OH 45385-2673
Ph: (937) 376-9731 |
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