| Edgmon Family Medicine | |
|
51342 National Rd Ste J Saint Clairsville OH 43950-1700 | |
| (740) 232-2180 | |
| (740) 232-2182 |
| Full Name | Edgmon Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 51342 National Rd Ste J, Saint Clairsville, Ohio |
| Authorized Official Name and Position | Michelle Edgmon (CEO) |
| Authorized Official Contact | 7402322180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgmon Family Medicine 51342 National Rd Ste J Saint Clairsville OH 43950-1700 Ph: (740) 232-2180 | Edgmon Family Medicine 51342 National Rd Ste J Saint Clairsville OH 43950-1700 Ph: (740) 232-2180 |
| NPI Number | 1497800676 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 9133163355 |
|---|---|
| Medicare Enrollment ID | O20230110001764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497800676 | NPI | - | NPPES |
| 0005909 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle Lee Edgmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609147883 PECOS PAC ID: 9830335454 Enrollment ID: I20191119002700 |
| Provider Name | Michelle Leigh Skonecy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427653823 PECOS PAC ID: 6406261098 Enrollment ID: I20210211002622 |
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