Andrea Beth Edgerly, FNP is a medicare enrolled "Nurse Practitioner" in Coloma, Michigan. Her current practice location is
6701 Paw Paw Ave, Coloma, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 463-3600.
Andrea Beth Edgerly is licensed to practice in Michigan (license number 4704279479) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922506948.
Provider's Profile
| Full Name | Andrea Beth Edgerly |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 6701 Paw Paw Ave, Coloma, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Andrea Beth Edgerly attended and graduated from in
NPI Data:
- NPI Number: 1922506948
- Provider Enumeration Date: 01/24/2018
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Andrea Beth Edgerly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922506948 | NPI | - | NPPES |
| 300011718 | Medicaid | IN | |
| 178420026 | Other | IN | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 28240769A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71007815A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 4704279479 (Michigan) | 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. Andrea Beth Edgerly 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 |
|---|
Andrea Beth Edgerly, FNP
6701 Paw Paw Ave,
Coloma, MI 49038-9519
Ph: () - | Andrea Beth Edgerly, FNP
6701 Paw Paw Ave,
Coloma, MI 49038-9519
Ph: (269) 463-3600 |
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