| Dr Kent Russell Edwards Jr, | |
|
401 Mulberry St Sw Ste 202, Lenoir, NC 28645-5463 | |
| (828) 757-6464 | |
| (828) 757-6424 |
| Full Name | Dr Kent Russell Edwards Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 401 Mulberry St Sw Ste 202, Lenoir, North Carolina |
| 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 |
|---|---|---|---|
| 1730530502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | LL39777 (South Carolina) | Secondary |
| 208800000X | Urology | 2020-04205 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catawba Valley Medical Center | Hickory, NC | Hospital |
| Frye Regional Medical Center | Hickory, NC | Hospital |
| Caldwell Memorial Hospital | Lenoir, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caldwell Memorial Hospital Inc | 5395646970 | 136 |
| Viewmont Urology Clinic, Pa | 6002890704 | 6 |
| Entity Name | Caldwell Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
| Entity Name | Viewmont Urology Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962435529 PECOS PAC ID: 6002890704 Enrollment ID: O20040617001385 |
| Entity Name | Caldwell Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376983171 PECOS PAC ID: 5395646970 Enrollment ID: O20130829000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kent Russell Edwards Jr, 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 Ph: (843) 792-3072 | Dr Kent Russell Edwards Jr, 401 Mulberry St Sw Ste 202, Lenoir, NC 28645-5463 Ph: (828) 757-6464 |
Dr. Ralph H. Duckett, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 Mulberry St Sw Ste 210, Lenoir, NC 28645 Phone: 828-757-6431 Fax: 828-757-6432 | |
Dr. David O Cook, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 Mulberry St Sw Ste 210, Lenoir, NC 28645 Phone: 828-757-6431 Fax: 828-757-6432 |