Mrs Samantha Carol Edgar, is a
Speech-language Pathologist based in Berrien Springs, Michigan. Mrs Samantha Carol Edgar is licensed to practice in Michigan (license number 7101005354) and her current practice location is
424 W Ferry St, Berrien Springs, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 716-2115.
NPI number for Mrs Samantha Carol Edgar is 1962935981 and her current mailing address is 424 W Ferry St, Berrien Springs, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962935981.
Healthcare Provider's Profile
Full Name | Mrs Samantha Carol Edgar |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 424 W Ferry St, Berrien Springs, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962935981
- Provider Enumeration Date: 04/06/2017
- Last Update Date: 04/06/2017
Medical Identifiers
Medical identifiers for Mrs Samantha Carol Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962935981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101005354 (Michigan) | 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. Mrs Samantha Carol Edgar 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 |
Mrs Samantha Carol Edgar, 424 W Ferry St, Berrien Springs, MI 49103-1111 Ph: (734) 716-2115 | Mrs Samantha Carol Edgar, 424 W Ferry St, Berrien Springs, MI 49103-1111 Ph: (734) 716-2115 |
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