Carolyn R Edwards, in Redlands, CA - Medicare Counselor Provider

Carolyn R Edwards, is a medicare enrolled "Counselor - Mental Health" provider in Redlands, California. Her current practice location is 301 9th St Ste 209, Redlands, California. You can reach out to her office (for appointments etc.) via phone at (909) 838-0650.

Carolyn R Edwards is licensed to practice in California (license number 112521) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548553233.

Contact Information

	Carolyn R Edwards,
	301 9th St Ste 209, Redlands, CA 92374-4497
	(909) 838-0650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn R Edwards
Gender	Female
Speciality	Counselor - Mental Health
Location	301 9th St Ste 209, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548553233
Provider Enumeration Date: 05/27/2011
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9739625708
Enrollment ID: I20240725004218

Medical Identifiers

Medical identifiers for Carolyn R Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548553233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(California)	Secondary
101YM0800X	Counselor - Mental Health	112521 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn R Edwards allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Carolyn R Edwards 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
Carolyn R Edwards, 301 9th St Ste 209, Redlands, CA 92374-4497 Ph: (909) 838-0650	Carolyn R Edwards, 301 9th St Ste 209, Redlands, CA 92374-4497 Ph: (909) 838-0650

Reviews and Comments

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Carolyn R Edwards, - Medicare Counselor in Redlands, CA