Ms Monica Elena Edenholm, LMFTA, PA-C is a medicare enrolled "Marriage & Family Therapist" in Seattle, Washington. Her current practice location is
2704 Ne 143rd St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 915-3253.
Ms Monica Elena Edenholm is licensed to practice in Washington (license number ) 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 1609812536.
Provider's Profile
| Full Name | Ms Monica Elena Edenholm |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 2704 Ne 143rd St, Seattle, Washington |
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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: 1609812536
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092724336
- Enrollment ID: I20060413000367
Medical Identifiers
Medical identifiers for Ms Monica Elena Edenholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609812536 | NPI | - | NPPES |
| 1014354 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA10004541 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA10004541 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Washington) | 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. Ms Monica Elena Edenholm 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 |
|---|
Ms Monica Elena Edenholm, LMFTA, PA-C
2704 Ne 143rd St,
Seattle, WA 98125-3523
Ph: (206) 915-3253 | Ms Monica Elena Edenholm, LMFTA, PA-C
2704 Ne 143rd St,
Seattle, WA 98125-3523
Ph: (206) 915-3253 |
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