Deidra Edison, MED is a
Counselor - Addiction (substance Use Disorder) based in Ashtabula, Ohio. Deidra Edison is licensed to practice in * (Not Available) (license number ) and her current practice location is
2801 C Ct, Ashtabula, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 998-0722.
NPI number for Deidra Edison is 1861812034 and her current mailing address is 2801 C Ct, Ashtabula, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861812034.
Healthcare Provider's Profile
Full Name | Deidra Edison |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 2801 C Ct, Ashtabula, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861812034
- Provider Enumeration Date: 04/25/2014
- Last Update Date: 03/05/2024
Medical Identifiers
Medical identifiers for Deidra Edison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861812034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | OH3127884 (Ohio) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Deidra Edison 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 |
Deidra Edison, MED 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-0722 | Deidra Edison, MED 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-0722 |
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