Suzan Tamesha Edwards, RN in Gillette, WY - Medicare Nurse Practitioner

Suzan Tamesha Edwards, RN is a medicare enrolled "Nurse Practitioner - Family" in Gillette, Wyoming. Her current practice location is 507 Ventura Ave, Gillette, Wyoming. You can reach out to her office (for appointments etc.) via phone at () -.

Suzan Tamesha Edwards is licensed to practice in Wyoming (license number 48988) 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 1740742006.

Contact Information

	Suzan Tamesha Edwards, RN
	507 Ventura Ave, Gillette, WY 82716-2292
	() -
	Not Available

Map and Direction

Provider's Profile

Full Name	Suzan Tamesha Edwards
Gender	Female
Speciality	Nurse Practitioner - Family
Location	507 Ventura Ave, Gillette, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740742006
Provider Enumeration Date: 04/04/2019
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0941734396
Enrollment ID: I20241107004204

Medical Identifiers

Medical identifiers for Suzan Tamesha Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740742006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	48988 (Wyoming)	Secondary
363LF0000X	Nurse Practitioner - Family	48988 (Wyoming)	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. Suzan Tamesha Edwards allows following entities to bill medicare on her behalf.

Entity Name	Gold Diagnostics Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346824554 PECOS PAC ID: 2961802699 Enrollment ID: O20240826001069

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. Suzan Tamesha Edwards 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
Suzan Tamesha Edwards, RN 507 Ventura Ave, Gillette, WY 82716-2292 Ph: (754) 235-7190	Suzan Tamesha Edwards, RN 507 Ventura Ave, Gillette, WY 82716-2292 Ph: () -

Reviews and Comments

Nurse Practitioner Nurses in Gillette, WY

Brenna Kirsch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 W 4th St, Gillette, WY 82716 Phone: 307-682-2233
Patricia Mcjilton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636
Amy Elizabeth Hawk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3535
Mrs. Leah M Albrecht, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 W 4th St, Gillette, WY 82716 Phone: 307-682-8110 Fax: 307-685-1193
Lindsey Nicole Lang, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Town Center Dr Ste 120, Gillette, WY 82718 Phone: 307-682-9962
Stacey Lynne Hastreiter, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1415 Fax: 307-688-1420
Linda Stone-soukup, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1304 W 4th St, Gillette, WY 82716 Phone: 307-682-8110

Suzan Tamesha Edwards, RN - Medicare Nurse Practitioner in Gillette, WY