Dr Anna Michelle Edmiston, MD is a
Ophthalmology physician based in Lake Villa, Illinois. Dr Anna Michelle Edmiston is licensed to practice in Illinois (license number 036.146283) and her current practice location is 300 N Milwaukee Ave Ste L, Lake Villa, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 356-0700.
NPI number for Dr Anna Michelle Edmiston is 1386055762 and her current mailing address is 300 N Milwaukee Ave Ste L, Lake Villa, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386055762.
Physician's Profile
| Full Name | Dr Anna Michelle Edmiston |
|---|
| Gender | Female |
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| Speciality | Ophthalmology |
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| Location | 300 N Milwaukee Ave Ste L, Lake Villa, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386055762
- Provider Enumeration Date: 05/19/2014
- Last Update Date: 07/25/2018
Medical Identifiers
Medical identifiers for Dr Anna Michelle Edmiston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386055762 | NPI | - | NPPES |
| 036.146283 | Other | IL | ILLINOIS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 036.146283 (Illinois) | 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 Anna Michelle Edmiston 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 Anna Michelle Edmiston, MD 300 N Milwaukee Ave Ste L, Lake Villa, IL 60046-8563 Ph: (847) 356-0700 | Dr Anna Michelle Edmiston, MD 300 N Milwaukee Ave Ste L, Lake Villa, IL 60046 Ph: (847) 356-0700 |
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