Kerry Ivan Edwards, MD is a
Internal Medicine physician based in Alachua, Florida. Kerry Ivan Edwards is licensed to practice in Florida (license number ME0051192) and his current practice location is 18912 Nw 76th Ave, Alachua, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 256-3288.
NPI number for Kerry Ivan Edwards is 1114198736 and his current mailing address is 18912 Nw 76th Ave, Alachua, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114198736.
Physician's Profile
| Full Name | Kerry Ivan Edwards |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 18912 Nw 76th Ave, Alachua, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114198736
- Provider Enumeration Date: 03/24/2008
- Last Update Date: 03/24/2008
Medical Identifiers
Medical identifiers for Kerry Ivan Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114198736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME0051192 (Florida) | 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. Kerry Ivan Edwards is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kerry Ivan Edwards, MD
18912 Nw 76th Ave,
Alachua, FL 32615-7589
Ph: (352) 256-3288 | Kerry Ivan Edwards, MD
18912 Nw 76th Ave,
Alachua, FL 32615-7589
Ph: (352) 256-3288 |
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