Dr Gregory Wade Edstrom, DC in Affton, MO - Medicare Chiropractic Provider

Dr Gregory Wade Edstrom, DC is a medicare enrolled "Chiropractor" provider in Affton, Missouri. He went to Logan College Of Chiropractic and graduated in 1973 and has 51 years of diverse experience with area of expertise as Chiropractic. His current practice location is 5714 S Lindbergh Blvd, #7, Affton, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 842-4929.

Dr Gregory Wade Edstrom is licensed to practice in Missouri (license number 03699) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1447389119.

Contact Information

	Dr Gregory Wade Edstrom, DC
	5714 S Lindbergh Blvd, #7, Affton, MO 63123-6955
	(314) 842-4929
	(314) 842-1829

Healthcare Provider's Profile

Full Name	Dr Gregory Wade Edstrom
Gender	Male
Speciality	Chiropractic
Experience	51 Years
Location	5714 S Lindbergh Blvd, Affton, Missouri
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gregory Wade Edstrom attended and graduated from Logan College Of Chiropractic in 1973

NPI Data:

NPI Number: 1447389119
Provider Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486795416
Enrollment ID: I20100112000742

Medical Identifiers

Medical identifiers for Dr Gregory Wade Edstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447389119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	03699 (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. Dr Gregory Wade Edstrom 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
Dr Gregory Wade Edstrom, DC 5714 S Lindbergh Blvd, #7, Affton, MO 63123-6955 Ph: (314) 842-4929	Dr Gregory Wade Edstrom, DC 5714 S Lindbergh Blvd, #7, Affton, MO 63123-6955 Ph: (314) 842-4929

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Dr Gregory Wade Edstrom, DC - Medicare Chiropractor in Affton, MO