Health Edge Medical And Wellness Center is a
Family Medicine based in North Charleston, South Carolina. Health Edge Medical And Wellness Center is licensed to practice in South Carolina (license number 25789) and their current practice location is
4965 Centre Pointe Dr. Suite 100, North Charleston, South Carolina. It can be reached at their office (for appointments etc.) via phone at
(843) 569-2225.
NPI number for Health Edge Medical And Wellness Center is 1003265828 and their current mailing address is 4965 Centre Pointe Dr. Suite 100, North Charleston, South Carolina. Health Edge Medical And Wellness Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003265828.
Healthcare Provider's Profile
| Full Name | Health Edge Medical And Wellness Center |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 4965 Centre Pointe Dr. Suite 100, North Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003265828
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 03/08/2017
Medical Identifiers
Medical identifiers for Health Edge Medical And Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003265828 | NPI | - | NPPES |
| GP6680 | Medicaid | SC | |
| D992 | Other | SC | PTAN MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2991 (South Carolina) | Secondary |
| 111N00000X | Chiropractor | (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 25789 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | (South Carolina) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 5337 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 18243 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3749 (South Carolina) | Secondary |
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. Health Edge Medical And Wellness Center 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 |
|---|
Health Edge Medical And Wellness Center
4965 Centre Pointe Dr. Suite 100,
North Charleston, SC 29418
Ph: (843) 569-2225 | Health Edge Medical And Wellness Center
4965 Centre Pointe Dr. Suite 100,
North Charleston, SC 29418
Ph: (843) 569-2225 |
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