Richard G Edison, PA-C is a medicare enrolled "Physician Assistant" in College Place, Washington. He graduated from nursing school in 1984 and has 40 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Physicians Immediate Care And Medical Centers Ps and his current practice location is
1705 Se Meadowbrook Blvd Ste 2, College Place, Washington. You can reach out to his office (for appointments etc.) via phone at
(888) 227-3312.
Richard G Edison is licensed to practice in Washington (license number PA10004152) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710096458.
Provider's Profile
| Full Name | Richard G Edison |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 40 Years |
|---|
| Location | 1705 Se Meadowbrook Blvd Ste 2, College Place, Washington |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Richard G Edison graduated from nursing school in 1984
NPI Data:
- NPI Number: 1710096458
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062406481
- Enrollment ID: I20040409000127
Medical Identifiers
Medical identifiers for Richard G Edison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710096458 | NPI | - | NPPES |
| 1017094 | Medicaid | WA | |
| 1710096458 | Medicaid | WA | |
| 219156 | Other | WA | L&I |
| 315750 | Other | WA | L&I POST 7/21/13 |
| 8944040 | Other | WA | CV |
| P01256590 | Other | WA | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA10004152 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physicians Immediate Care And Medical Centers Ps | 7618865775 | 22 |
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. Richard G Edison 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 |
|---|
Richard G Edison, PA-C
Po Box 2928,
Portland, OR 97208-2928
Ph: (425) 207-5155 | Richard G Edison, PA-C
1705 Se Meadowbrook Blvd Ste 2,
College Place, WA 99324-1756
Ph: (888) 227-3312 |
Reviews and Comments