Jeffery W Edstrom, - Medicare Nurse Anesthetist, Certified Registered in Buffalo, WY

Jeffery W Edstrom, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Buffalo, Wyoming. His current practice location is 497 W Lott St, Buffalo, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 684-5521.

Jeffery W Edstrom is licensed to practice in Wisconsin (license number 129337) 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 1164427274.

Contact Information

Jeffery W Edstrom,
497 W Lott St,
Buffalo, WY 82834-1658
(307) 684-5521
(307) 684-5385



Provider's Profile

Full NameJeffery W Edstrom
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location497 W Lott St, Buffalo, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164427274
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 06/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1557326923
  • Enrollment ID: I20070412000027

Medical Identifiers

Medical identifiers for Jeffery W Edstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164427274NPI-NPPES
43403300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 129337 (Wisconsin)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. Jeffery W Edstrom allows following entities to bill medicare on his behalf.
Entity NameJeffery W Edstrom
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871916544
PECOS PAC ID: 4688897093
Enrollment ID: O20140603000638

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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. Jeffery W 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 AddressPractice Location Address
Jeffery W Edstrom,
553 N Pinnacle Dr,
Buffalo, WY 82834-1416

Ph: (307) 684-7817
Jeffery W Edstrom,
497 W Lott St,
Buffalo, WY 82834-1658

Ph: (307) 684-5521

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Nurse Anesthetist, Certified Registered Nurses in Buffalo, WY

David Scott James, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 33 Prairie Dr, Buffalo, WY 82834
Phone: 307-620-0847    

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