Dr Alan Evert Edwards, MD - Medicare Emergency Medicine in Renovo, PA

Dr Alan Evert Edwards, MD is a medicare enrolled "Emergency Medicine" physician in Renovo, Pennsylvania. His current practice location is 1001 Pine St, Renovo, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 923-1019.

Dr Alan Evert Edwards is licensed to practice in Ohio (license number 35 062409E) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124003157.

Contact Information

Dr Alan Evert Edwards, MD
1001 Pine St,
Renovo, PA 17764-1620
(570) 923-1019
Not Available



Physician's Profile

Full NameDr Alan Evert Edwards
GenderMale
SpecialityEmergency Medicine
Location1001 Pine St, Renovo, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124003157
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850369489
  • Enrollment ID: I20140116000225

Medical Identifiers

Medical identifiers for Dr Alan Evert Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124003157NPI-NPPES
0908165MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35062409E (Pennsylvania)Secondary
207P00000XEmergency Medicine 35 062409E (Ohio)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 Alan Evert Edwards allows following entities to bill medicare on his behalf.
Entity NameRandy R. Shemer D.o. L.l.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336273218
PECOS PAC ID: 0840363495
Enrollment ID: O20080716000056

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Entity NameBucktail Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1821083700
PECOS PAC ID: 6800852112
Enrollment ID: O20110307000465

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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 Alan Evert Edwards 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 AddressPractice Location Address
Dr Alan Evert Edwards, MD
5700 Darrow Road, Suite 106,
Hudson, OH 44236-5021

Ph: (330) 656-5911
Dr Alan Evert Edwards, MD
1001 Pine St,
Renovo, PA 17764-1620

Ph: (570) 923-1019

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Emergency Medicine Doctors in Renovo, PA


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