Courtney Edmonson, PSYD in West Jordan, UT - Medicare Psychologist Provider

Courtney Edmonson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in West Jordan, Utah. Her current practice location is 7533 S Center View Ct Ste R, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (509) 289-2642.

Courtney Edmonson is licensed to practice in Washington (license number PY61242191) 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 1366950933.

Contact Information

	Courtney Edmonson, PSYD
	7533 S Center View Ct Ste R, West Jordan, UT 84084-5526
	(509) 289-2642
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Edmonson
Gender	Female
Speciality	Psychologist - Clinical
Location	7533 S Center View Ct Ste R, West Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366950933
Provider Enumeration Date: 01/17/2018
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1355709130
Enrollment ID: I20230627001338

Medical Identifiers

Medical identifiers for Courtney Edmonson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366950933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY61242191 (Washington)	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. Courtney Edmonson allows following entities to bill medicare on her behalf.

Entity Name	Frontier Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191

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. Courtney Edmonson 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
Courtney Edmonson, PSYD Po Box 150629, Ogden, UT 84415-0629 Ph: (509) 289-2642	Courtney Edmonson, PSYD 7533 S Center View Ct Ste R, West Jordan, UT 84084-5526 Ph: (509) 289-2642

Reviews and Comments

Psychologist in West Jordan, UT

Dr. Jennie Lyn Bingham, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7533 S Center View Ct Ste R, West Jordan, UT 84084 Phone: 801-380-9664
Nancy Marie Raymond, PMHNP-BC Psychologist Medicare: Medicare Enrolled Practice Location: 9103 S 1300 W Ste 102, West Jordan, UT 84088 Phone: 801-417-0131
Dr. Margaret Jane Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6787 S Redwood Rd Ste 5, West Jordan, UT 84084 Phone: 801-839-5360
Sofia Marcela Cannon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7625 S 3200 W Ste 2, West Jordan, UT 84084 Phone: 801-915-0359
Terry Lee Burnham, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8817 Redwood Rd, West Jordan, UT 84088 Phone: 801-748-2270 Fax: 801-748-2271
Dr. Randy Lynn Ryan, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8823 S Redwood Rd, Suite B Basement, West Jordan, UT 84088 Phone: 801-913-0098 Fax: 801-272-3857

Courtney Edmonson, PSYD - Medicare Psychologist in West Jordan, UT