Connie I Edwards, ARNP is a medicare enrolled "Nurse Practitioner" in Wapato, Washington. Her current practice location is
620 W 1st St, Wapato, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 877-4111.
Connie I Edwards is licensed to practice in Washington (license number AP30004736) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538139027.
Provider's Profile
| Full Name | Connie I Edwards |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 620 W 1st St, Wapato, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538139027
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 11/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355233313
- Enrollment ID: I20040325001519
Medical Identifiers
Medical identifiers for Connie I Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538139027 | NPI | - | NPPES |
| 9622218 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP30004736 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AK 1393 (Alaska) | Secondary |
| 363L00000X | Nurse Practitioner | AP30004736 (Washington) | 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. Connie I Edwards allows following entities to bill medicare on her behalf.
| Entity Name | Yakima Valley Farm Workers Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
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| Entity Name | Department Of Social Dept Of Shs Div Of Instns |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467440602
PECOS PAC ID: 9133013725
Enrollment ID: O20040213000028 |
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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. Connie I 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 |
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Connie I Edwards, ARNP
620 W 1st St,
Wapato, WA 98951-1108
Ph: (509) 877-4111 | Connie I Edwards, ARNP
620 W 1st St,
Wapato, WA 98951-1108
Ph: (509) 877-4111 |
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