Mr Larry Edward Ede, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Madison, Ohio. His current practice location is
5824 Woodside Dr, Madison, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 669-5670.
Mr Larry Edward Ede is licensed to practice in Ohio (license number 0030430) 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 1508510132.
Provider's Profile
Full Name | Mr Larry Edward Ede |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner - Adult Health |
---|
Location | 5824 Woodside Dr, Madison, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508510132
- Provider Enumeration Date: 02/11/2022
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870962558
- Enrollment ID: I20221220001824
Medical Identifiers
Medical identifiers for Mr Larry Edward Ede such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508510132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 0030430 (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. Mr Larry Edward Ede allows following entities to bill medicare on his behalf.
Entity Name | Cleveland Surgical Associates, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1831140003 PECOS PAC ID: 3577566371 Enrollment ID: O20060817000037 |
---|
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. Mr Larry Edward Ede 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 |
Mr Larry Edward Ede, NP 5824 Woodside Dr, Madison, OH 44057-2400 Ph: (440) 669-5670 | Mr Larry Edward Ede, NP 5824 Woodside Dr, Madison, OH 44057-2400 Ph: (440) 669-5670 |
Reviews and Comments