Mrs Pamela Jean Edl, LPN is a
Licensed Practical Nurse based in Ridgeway, Wisconsin. Mrs Pamela Jean Edl is licensed to practice in Wisconsin (license number 314201031) and her current practice location is
103 Wells St, Ridgeway, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 924-2520.
NPI number for Mrs Pamela Jean Edl is 1184977126 and her current mailing address is 103 Wells St, Ridgeway, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184977126.
Provider's Profile
| Full Name | Mrs Pamela Jean Edl |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 103 Wells St, Ridgeway, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184977126
- Provider Enumeration Date: 10/15/2012
- Last Update Date: 10/15/2012
Medical Identifiers
Medical identifiers for Mrs Pamela Jean Edl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184977126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 314201031 (Wisconsin) | 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. Mrs Pamela Jean Edl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Pamela Jean Edl, LPN
103 Wells St,
Ridgeway, WI 53582-9650
Ph: (608) 924-2520 | Mrs Pamela Jean Edl, LPN
103 Wells St,
Ridgeway, WI 53582-9650
Ph: (608) 924-2520 |
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