Mr Brandon Edmondson, APRN in Soddy Daisy, TN

Mr Brandon Edmondson, APRN is a medicare enrolled "Nurse Practitioner" in Soddy Daisy, Tennessee. His current practice location is 2027 Ell Rd, Soddy Daisy, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 605-9512.

Mr Brandon Edmondson is licensed to practice in Tennessee (license number 34564) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104602093.

Contact Information

	Mr Brandon Edmondson, APRN
	2027 Ell Rd, Soddy Daisy, TN 37379-8501
	(423) 605-9512
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Brandon Edmondson
Gender	Male
Speciality	Nurse Practitioner
Location	2027 Ell Rd, Soddy Daisy, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104602093
Provider Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7113373820
Enrollment ID: I20231031002890

Medical Identifiers

Medical identifiers for Mr Brandon Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104602093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	34564 (Tennessee)	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. Mr Brandon Edmondson allows following entities to bill medicare on his behalf.

Entity Name	Crossroads Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672

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. Mr Brandon 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
Mr Brandon Edmondson, APRN 2027 Ell Rd, Soddy Daisy, TN 37379-8501 Ph: () -	Mr Brandon Edmondson, APRN 2027 Ell Rd, Soddy Daisy, TN 37379-8501 Ph: (423) 605-9512

Reviews and Comments

Nurse Practitioner Nurses in Soddy Daisy, TN

Patrice Vivienne Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293
Abbey Roe Elverd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293
Mrs. Lilly Esther Fotiadis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9826 Hixson Pike, Soddy Daisy, TN 37379 Phone: 423-847-6451
Angela Fuller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1923 Port Royal Dr, Soddy Daisy, TN 37379 Phone: 423-602-1544
Mr. Michael L Ascough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9389 Dayton Pike, Soddy Daisy, TN 37379 Phone: 225-757-1023
Mrs. Amy Katherine Farlett, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293

Mr Brandon Edmondson, APRN - Medicare Nurse Practitioner in Soddy Daisy, TN