| Charles Christopher Edwards, DPM | |
|
4315 Diplomacy Drive, Anchorage, AK 99508-5926 | |
| (907) 729-1500 | |
| (907) 729-2082 |
| Full Name | Charles Christopher Edwards |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 27 Years |
| Location | 4315 Diplomacy Drive, Anchorage, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447291067 | NPI | - | NPPES |
| PD26281 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5109 (Alaska) | Secondary |
| 213E00000X | Podiatrist | 5109 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alaska Native Medical Center | Anchorage, AK | Hospital |
| Maniilaq Health Center | Kotzebue, AK | Hospital |
| Yukon Kuskokwim Delta Reg Hospital | Bethel, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alaska Native Tribal Health Consortium | 6709780265 | 605 |
| Entity Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Entity Name | Kodiak Area Native Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679514236 PECOS PAC ID: 8426959297 Enrollment ID: O20041004000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Christopher Edwards, DPM 4315 Diplomacy Drive, Anchorage, AK 99508-5926 Ph: (907) 729-1500 | Charles Christopher Edwards, DPM 4315 Diplomacy Drive, Anchorage, AK 99508-5926 Ph: (907) 729-1500 |