Edward Medina, PAC in Alamosa, CO - Medicare Physician Assistant

Edward Medina, PAC is a medicare enrolled "Physician Assistant" in Alamosa, Colorado. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern Colorado Clinic Pc, Valley-wide Health Systems, Inc. and his current practice location is 1710 1st St, Alamosa, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 589-3658.

Edward Medina is licensed to practice in Colorado (license number 1115) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558351460.

Contact Information

	Edward Medina, PAC
	1710 1st St, Alamosa, CO 81101-2302
	(719) 589-3658
	(719) 589-0997

Provider's Profile

Full Name	Edward Medina
Gender	Male
Speciality	Physician Assistant
Experience	26 Years
Location	1710 1st St, Alamosa, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Medina graduated from nursing school in 1998

NPI Data:

NPI Number: 1558351460
Provider Enumeration Date: 10/24/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3274572516
Enrollment ID: I20050427000281

Medical Identifiers

Medical identifiers for Edward Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558351460	NPI	-	NPPES
840706945169	Other	CO	ROCKY MOUNTAIN HEALTH PLA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1115 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Luis Valley Health	Alamosa, CO	Hospital
San Luis Valley Health Conejos County Hospital	La jara, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Colorado Clinic Pc	4284524067	34
Valley-wide Health Systems, Inc.	5991609067	29

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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. Edward Medina 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
Edward Medina, PAC 1710 1st St, Alamosa, CO 81101-2302 Ph: (719) 589-3658	Edward Medina, PAC 1710 1st St, Alamosa, CO 81101-2302 Ph: (719) 589-3658

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Physician Assistant Nurses in Alamosa, CO

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Edward Kulp, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8082 Fax: 719-587-6354
Amy Nicole Blakeslee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8082
Johnny B Sisneros, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave Ste 300, Alamosa, CO 81101 Phone: 719-589-3658
Botond A Vita, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8091 Fax: 719-589-8112
Mr. Howard William Cox, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-8073 Fax: 719-589-8087
Laticia R Hollingsworth, P.A.-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave, Orthopedic Department, Alamosa, CO 81101 Phone: 719-589-8091 Fax: 719-589-8012

Edward Medina, PAC - Medicare Physician Assistant in Alamosa, CO

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Physician Assistant Nurses in Alamosa, CO