Jay S. Edmonds, Jr., Md Inc. - Medicare Primary Care in Monterey, CA

Jay S. Edmonds, Jr., Md Inc. is a medicare enrolled primary clinic (Family Medicine) in Monterey, California. The current practice location for Jay S. Edmonds, Jr., Md Inc. is 5 Harris Ct, Bldg T Suite 103, Monterey, California. For appointments, you can reach them via phone at (831) 375-8880. The mailing address for Jay S. Edmonds, Jr., Md Inc. is 9 Walter Colton Dr, Monterey, California and phone number is (831) 375-8880.

Jay S. Edmonds, Jr., Md Inc. is licensed to practice in California (license number G55954). The clinic also participates in the medicare program and its NPI number is 1114962016. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (831) 375-8880.

Contact Information

Jay S. Edmonds, Jr., Md Inc.
5 Harris Ct
Bldg T Suite 103
Monterey
CA 93940-5750
(831) 375-8880
(831) 375-8804

Primary Care Clinic Profile

Full NameJay S. Edmonds, Jr., Md Inc.
SpecialityFamily Medicine
Location5 Harris Ct, Monterey, California
Authorized Official Name and PositionJay S Edmonds (OWNER)
Authorized Official Contact8313758880
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jay S. Edmonds, Jr., Md Inc.
9 Walter Colton Dr
Monterey
CA 93940-4230

Ph: (831) 375-8880
Jay S. Edmonds, Jr., Md Inc.
5 Harris Ct
Bldg T Suite 103
Monterey
CA 93940-5750

Ph: (831) 375-8880

NPI Details:

NPI Number1114962016
Provider Enumeration Date06/17/2006
Last Update Date10/20/2010

Medicare PECOS Information:

Medicare PECOS PAC ID8426060757
Medicare Enrollment IDO20060630000333

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Medical Identifiers

Medical identifiers for Jay S. Edmonds, Jr., Md Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114962016NPI-NPPES
G55954OtherCABLUE CROSS
000G559540OtherDEBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G55954 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jay S. Edmonds, Jr., Md Inc. acts as a billing entity for following providers:
Provider NameJay S Edmonds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619944881
PECOS PAC ID: 8022025907
Enrollment ID: I20060317000274

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Family Medicine in Monterey, CA

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