Robert Edward Edge, OD is a medicare enrolled "Optometrist" provider in Jackson, Alabama. His current practice location is
1206 College Ave, Jackson, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 246-3231.
Robert Edward Edge is licensed to practice in Alabama (license number S412TA033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659374361.
Healthcare Provider's Profile
Full Name | Robert Edward Edge |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1206 College Ave, Jackson, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659374361
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 11/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 4880784172
- Enrollment ID: I20100923001301
Medical Identifiers
Medical identifiers for Robert Edward Edge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659374361 | NPI | - | NPPES |
2210129 | Other | AL | UNITED HEALTHCARE PROV # |
4386054 | Other | AL | AETNA PROVIDER # |
T69193 | Other | AL | HEALTHSPRING PROVIDER # |
51076025 | Other | AL | BLUE CROSS OF AL PROV # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | S412TA033 (Alabama) | 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. Robert Edward Edge 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 |
Robert Edward Edge, OD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 470-8820 | Robert Edward Edge, OD 1206 College Ave, Jackson, AL 36545-2407 Ph: (251) 246-3231 |
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