Edye A Calderon, PAC is a medicare enrolled "Physician Assistant" in Frederick, Oklahoma. Her current practice location is
319 E Josephine, Frederick, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 335-7545.
Edye A Calderon is licensed to practice in Oklahoma (license number 1645) 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 1669577474.
Provider's Profile
| Full Name | Edye A Calderon |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 319 E Josephine, Frederick, Oklahoma |
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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: 1669577474
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 08/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 2769371962
- Enrollment ID: I20090708000440
Medical Identifiers
Medical identifiers for Edye A Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669577474 | NPI | - | NPPES |
| 242722104 | Other | OK | MEDICARE |
| 816176 | Medicaid | AZ | |
| 200116340A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 2868 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 2868 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 1645 (Oklahoma) | 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. Edye A Calderon 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 |
|---|
Edye A Calderon, PAC
Po Box 785,
Lawton, OK 73502
Ph: (580) 357-9984 | Edye A Calderon, PAC
319 E Josephine,
Frederick, OK 73542
Ph: (580) 335-7545 |
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