Michelle Rogena Edwards, is a
Specialist/technologist - Athletic Trainer based in Little Rock, Arkansas. Michelle Rogena Edwards is licensed to practice in Arkansas (license number 333) and her current practice location is
1701 Cantrell Rd, Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 372-1194.
NPI number for Michelle Rogena Edwards is 1821528100 and her current mailing address is 618 Edinburgh Ct, Jacksonville, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821528100.
Healthcare Provider's Profile
Full Name | Michelle Rogena Edwards |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 1701 Cantrell Rd, Little Rock, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821528100
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 06/09/2022
Medical Identifiers
Medical identifiers for Michelle Rogena Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821528100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 9219 (Arkansas) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 333 (Arkansas) | 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. Michelle Rogena 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 |
Michelle Rogena Edwards, 618 Edinburgh Ct, Jacksonville, AR 72076-3434 Ph: (501) 772-3117 | Michelle Rogena Edwards, 1701 Cantrell Rd, Little Rock, AR 72201-1111 Ph: (501) 372-1194 |
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