Suzanne Keele Edelman, ANP is a
Nurse Practitioner - Psychiatric/mental Health based in Moore, Idaho. Suzanne Keele Edelman is licensed to practice in Idaho (license number NP-325A) and her current practice location is
4702 W Cherry Creek Road, Moore, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 554-2006.
NPI number for Suzanne Keele Edelman is 1164628442 and her current mailing address is 421 Memorial Dr, Pocatello, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164628442.
Provider's Profile
| Full Name | Suzanne Keele Edelman |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 4702 W Cherry Creek Road, Moore, Idaho |
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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: 1164628442
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Suzanne Keele Edelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164628442 | NPI | - | NPPES |
| NP-325A | Other | ID | ANP LICENSE |
| N-10732 | Other | ID | RN LICENSE |
| ME1563990 | Other | ID | CONTROLLED SUBSTANCE REG. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LC1500X | Nurse Practitioner - Community Health | NP-325A (Idaho) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP-325A (Idaho) | 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. Suzanne Keele Edelman 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 |
|---|
Suzanne Keele Edelman, ANP
421 Memorial Dr,
Pocatello, ID 83201-4008
Ph: (208) 554-2006 | Suzanne Keele Edelman, ANP
4702 W Cherry Creek Road,
Moore, ID 83255
Ph: (208) 554-2006 |
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