Courtney Renee Edmundson, FNP | |
3041 W Us Highway 36, Pendleton, IN 46064-9280 | |
(765) 778-0000 | |
Not Available |
Full Name | Courtney Renee Edmundson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 3041 W Us Highway 36, Pendleton, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255675963 | NPI | - | NPPES |
201127790 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71004242A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Anderson | Anderson, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Courtney Renee Edmundson, FNP 3041 W Us Highway 36, Pendleton, IN 46064-9280 Ph: () - | Courtney Renee Edmundson, FNP 3041 W Us Highway 36, Pendleton, IN 46064-9280 Ph: (765) 778-0000 |
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