Deneb Edwards, MT is a
Massage Therapist based in Burley, Idaho. Deneb Edwards is licensed to practice in Idaho (license number MASG-1932) and his current practice location is
1315 Oakley Ave, Burley, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 244-2585.
NPI number for Deneb Edwards is 1023489218 and his current mailing address is 621 Doggett Dr, Heyburn, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023489218.
Healthcare Provider's Profile
| Full Name | Deneb Edwards |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1315 Oakley Ave, Burley, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023489218
- Provider Enumeration Date: 10/13/2015
- Last Update Date: 10/13/2015
Medical Identifiers
Medical identifiers for Deneb Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023489218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MASG-1932 (Idaho) | 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. Deneb 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 |
|---|
Deneb Edwards, MT
621 Doggett Dr,
Heyburn, ID 83336-9639
Ph: (208) 244-2585 | Deneb Edwards, MT
1315 Oakley Ave,
Burley, ID 83318-1833
Ph: (208) 244-2585 |
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