Andrea Beth Edgerly, FNP is a medicare enrolled "Nurse Practitioner" in Coloma, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeland Community Hospital Watervliet, Lakeland Community Hospital Watervliet and 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 | Nurse Practitioner |
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| Experience | 7 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 graduated from nursing school in 2017
NPI Data:
- NPI Number: 1922506948
- Provider Enumeration Date: 01/24/2018
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941561872
- Enrollment ID: I20180309001102
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeland Community Hospital Watervliet | 7416942750 | 50 |
| Lakeland Community Hospital Watervliet | 7416942750 | 50 |
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. Andrea Beth Edgerly allows following entities to bill medicare on her behalf.
| Entity Name | Healthlinc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528262581
PECOS PAC ID: 7618929373
Enrollment ID: O20050210000929 |
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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 |
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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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