Dr Elizabeth Alexandra Edwards, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. Her current practice location is
4250 Plymouth Rd, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 764-0231.
Dr Elizabeth Alexandra Edwards is licensed to practice in Michigan (license number EMC0006374) 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 1790313054.
Physician's Profile
| Full Name | Dr Elizabeth Alexandra Edwards |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4250 Plymouth Rd, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790313054
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476097593
- Enrollment ID: I20240701001443
Medical Identifiers
Medical identifiers for Dr Elizabeth Alexandra Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790313054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036162149 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | EMC0006374 (Michigan) | 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. Dr Elizabeth Alexandra Edwards allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
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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 Elizabeth Alexandra 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 |
Dr Elizabeth Alexandra Edwards, MD 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 Ph: (734) 764-0231 | Dr Elizabeth Alexandra Edwards, MD 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 Ph: (734) 764-0231 |
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