Dr Alan Evert Edwards, MD is a medicare enrolled "Emergency Medicine" physician in Renovo, Pennsylvania. His current practice location is
1001 Pine St, Renovo, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 923-1019.
Dr Alan Evert Edwards is licensed to practice in Ohio (license number 35 062409E) 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 1124003157.
Physician's Profile
Full Name | Dr Alan Evert Edwards |
---|
Gender | Male |
---|
Speciality | Emergency Medicine |
---|
Location | 1001 Pine St, Renovo, Pennsylvania |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124003157
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850369489
- Enrollment ID: I20140116000225
Medical Identifiers
Medical identifiers for Dr Alan Evert Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124003157 | NPI | - | NPPES |
0908165 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 35062409E (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 35 062409E (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 Alan Evert Edwards allows following entities to bill medicare on his behalf.
Entity Name | Bucktail Medical Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1821083700 PECOS PAC ID: 6800852112 Enrollment ID: O20041208000866 |
---|
Entity Name | Randy R. Shemer D.o. L.l.c. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1336273218 PECOS PAC ID: 0840363495 Enrollment ID: O20080716000056 |
---|
Entity Name | Bucktail Medical Center |
---|
Entity Type | Part A Provider - Critical Access Hospital |
---|
Entity Identifiers | NPI Number: 1821083700 PECOS PAC ID: 6800852112 Enrollment ID: O20110307000465 |
---|
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 Alan Evert 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 Alan Evert Edwards, MD 5700 Darrow Road, Suite 106, Hudson, OH 44236-5021 Ph: (330) 656-5911 | Dr Alan Evert Edwards, MD 1001 Pine St, Renovo, PA 17764-1620 Ph: (570) 923-1019 |
Reviews and Comments