Jeremy Todd Edmonds, DO is a medicare enrolled "Family Medicine" physician in Moriarty, New Mexico. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Schreiber Family Medicine Llc and his current practice location is
1108 Central Ave Sw, Moriarty, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 832-4434.
Jeremy Todd Edmonds is licensed to practice in New Mexico (license number A-1270-04) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932116472.
Physician's Profile
| Full Name | Jeremy Todd Edmonds |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 1108 Central Ave Sw, Moriarty, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeremy Todd Edmonds attended and graduated from Philadelphia College Of Osteopathic Medicine in 2002
NPI Data:
- NPI Number: 1932116472
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002856192
- Enrollment ID: I20050813000271
Medical Identifiers
Medical identifiers for Jeremy Todd Edmonds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932116472 | NPI | - | NPPES |
| 30827850 | Medicaid | NM | |
| 080165527 | Other | NM | RAILROAD MEDICARE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A-1270-04 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Schreiber Family Medicine Llc | 9436431038 | 5 |
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. Jeremy Todd Edmonds allows following entities to bill medicare on his behalf.
| Entity Name | Schreiber Family Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780127712
PECOS PAC ID: 9436431038
Enrollment ID: O20170113002291 |
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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. Jeremy Todd Edmonds 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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Jeremy Todd Edmonds, DO
Po Box 1520,
Moriarty, NM 87035-1520
Ph: (505) 832-4434 | Jeremy Todd Edmonds, DO
1108 Central Ave Sw,
Moriarty, NM 87035-1520
Ph: (505) 832-4434 |
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