| Dr Dana Phillip Edwards, MD | |
|
204 Town Branch Rd, Manchester, KY 40962-1322 | |
| (606) 598-8766 | |
| (606) 598-1903 |
| Full Name | Dr Dana Phillip Edwards |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 204 Town Branch Rd, Manchester, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164424131 | NPI | - | NPPES |
| 64347479 | Medicaid | KY | |
| 1164424131 | Other | KY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34747 (Kentucky) | Primary |
| Entity Name | Edwards Clinic Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154635407 PECOS PAC ID: 9436333465 Enrollment ID: O20110415000026 |
| Entity Name | Family Practice Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972979540 PECOS PAC ID: 2961790167 Enrollment ID: O20161004000230 |
| Entity Name | Arh Mary Breckinridge Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053983908 PECOS PAC ID: 8123293818 Enrollment ID: O20170316001594 |
| Entity Name | Pineville Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275192924 PECOS PAC ID: 5698009157 Enrollment ID: O20200116003024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana Phillip Edwards, MD 204 Town Branch Rd, Manchester, KY 40962-1322 Ph: (606) 598-8766 | Dr Dana Phillip Edwards, MD 204 Town Branch Rd, Manchester, KY 40962-1322 Ph: (606) 598-8766 |
Dr. Gregory Charles Wilkens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 Memorial Dr Ste 1, Manchester, KY 40962 Phone: 606-598-4534 Fax: 606-599-2524 |