Dr Veronica Bordes Edgar, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Dallas, Texas. Her current practice location is
5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-0102.
Dr Veronica Bordes Edgar is licensed to practice in Texas (license number 36857) 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 1760790216.
Healthcare Provider's Profile
| Full Name | Dr Veronica Bordes Edgar |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 5323 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760790216
- Provider Enumeration Date: 09/17/2010
- Last Update Date: 09/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 2264692094
- Enrollment ID: I20141018000191
Medical Identifiers
Medical identifiers for Dr Veronica Bordes Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760790216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 36857 (Texas) | 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. Dr Veronica Bordes Edgar allows following entities to bill medicare on her behalf.
| Entity Name | Complex Care Medical Services Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013256098
PECOS PAC ID: 4981919800
Enrollment ID: O20150820010932 |
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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. Dr Veronica Bordes Edgar 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 |
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Dr Veronica Bordes Edgar, PHD
Po Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-0102 | Dr Veronica Bordes Edgar, PHD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
Ph: (214) 645-0102 |
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