Nicole Edwin, MS CCC-SLP, CLC is a
Speech-language Pathologist based in New Athens, Illinois. Nicole Edwin is licensed to practice in Missouri (license number 2015039250) and her current practice location is
5001 Gils Ln, New Athens, Illinois. She can be reached at her office (for appointments etc.) via phone at
(920) 342-2558.
NPI number for Nicole Edwin is 1568904050 and her current mailing address is 5001 Gils Ln, New Athens, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568904050.
Healthcare Provider's Profile
Full Name | Nicole Edwin |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 5001 Gils Ln, New Athens, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568904050
- Provider Enumeration Date: 11/15/2016
- Last Update Date: 03/16/2021
Medical Identifiers
Medical identifiers for Nicole Edwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568904050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2015039250 (Missouri) | 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. Nicole Edwin 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 |
Nicole Edwin, MS CCC-SLP, CLC 5001 Gils Ln, New Athens, IL 62264-2322 Ph: (920) 342-2558 | Nicole Edwin, MS CCC-SLP, CLC 5001 Gils Ln, New Athens, IL 62264-2322 Ph: (920) 342-2558 |
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