Dr John Charles Edlin, MD is a
Counselor - Mental Health physician based in Dallas, Texas. Dr John Charles Edlin is licensed to practice in * (Not Available) (license number ) and his current practice location is 12800 Hillcrest Rd, Suite 216, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 239-9252.
NPI number for Dr John Charles Edlin is 1114936614 and his current mailing address is 12800 Hillcrest Rd, Suite 216, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114936614.
Physician's Profile
| Full Name | Dr John Charles Edlin |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 12800 Hillcrest Rd, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114936614
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John Charles Edlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114936614 | NPI | - | NPPES |
| 886542 | Other | TX | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | E1307 (Texas) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | E1307 (Texas) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 John Charles Edlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Charles Edlin, MD
12800 Hillcrest Rd, Suite 216,
Dallas, TX 75230-1524
Ph: (972) 239-9252 | Dr John Charles Edlin, MD
12800 Hillcrest Rd, Suite 216,
Dallas, TX 75230-1524
Ph: (972) 239-9252 |
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