Jean A Edmondson, NP in Saint Clair Shores, MI

Jean A Edmondson, NP is a medicare enrolled "Nurse Practitioner - Family" in Saint Clair Shores, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Clair Orthopaedics And Sports Medicine Pc and her current practice location is 23829 Little Mack Ave, Suite 100, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 773-1300.

Jean A Edmondson is licensed to practice in Michigan (license number 4704215622) 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 1992742753.

Contact Information

	Jean A Edmondson, NP
	23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186
	(586) 773-1300
	(586) 773-1600

Map and Direction

Provider's Profile

Full Name	Jean A Edmondson
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	23829 Little Mack Ave, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jean A Edmondson graduated from nursing school in 2002

NPI Data:

NPI Number: 1992742753
Provider Enumeration Date: 06/01/2006
Last Update Date: 11/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8921032368
Enrollment ID: I20050924000067

Medical Identifiers

Medical identifiers for Jean A Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992742753	NPI	-	NPPES
5008605420	Other	MI	BLUE CROSS BLUE SHIELD
4761826	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	JE215622 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704215622 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704215622 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital, Troy	Troy, MI	Hospital
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Clair Orthopaedics And Sports Medicine Pc	4486625027	24

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. Jean A Edmondson allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Macomb Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651

Entity Name	St. Clair Orthopaedics And Sports Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720041288 PECOS PAC ID: 4486625027 Enrollment ID: O20040805000566

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. Jean A Edmondson 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
Jean A Edmondson, NP 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 Ph: (586) 773-1300	Jean A Edmondson, NP 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 Ph: (586) 773-1300

Reviews and Comments

Nurse Practitioner Nurses in Saint Clair Shores, MI

Nicole Irene Back, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22213 Love St, Saint Clair Shores, MI 48082 Phone: 734-626-4672
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070

Jean A Edmondson, NP - Medicare Nurse Practitioner in Saint Clair Shores, MI