Edward Lee Pearson, NURSE PRACTITIONER is a medicare enrolled "Family Medicine - Adult Medicine" physician in Saint Louis, Michigan. His current practice location is
320 Hubbard St, Saint Louis, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 681-6668.
Edward Lee Pearson is licensed to practice in Michigan (license number 4704206310) 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 1922597038.
Physician's Profile
Full Name | Edward Lee Pearson |
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Gender | Male |
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Speciality | Family Medicine - Adult Medicine |
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Location | 320 Hubbard St, Saint Louis, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922597038
- Provider Enumeration Date: 05/03/2018
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 0446626980
- Enrollment ID: I20221025000409
Medical Identifiers
Medical identifiers for Edward Lee Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922597038 | NPI | - | NPPES |
4704206310 | Other | MI | NURSE PRACTITIONER SPECIALTY CERTIFICATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 4704206310 (Michigan) | Primary |
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. Edward Lee Pearson 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 |
Edward Lee Pearson, NURSE PRACTITIONER 363 Eden St, Kingsley, MI 49649-9289 Ph: (231) 620-5408 | Edward Lee Pearson, NURSE PRACTITIONER 320 Hubbard St, Saint Louis, MI 48880-1926 Ph: (989) 681-6668 |
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