Dr Nicole Yvonne Edwards, DO in Columbia, SC

Dr Nicole Yvonne Edwards, DO is a medicare enrolled "Family Medicine" physician in Columbia, South Carolina. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Active Life Health Of Columbia Llc, Mercy East Ambulatory Services Llc, Lake Regional Health System and her current practice location is 1313 Saint Andrews Rd Ste 3, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 543-2913.

Dr Nicole Yvonne Edwards is licensed to practice in South Carolina (license number 1090) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639378987.

Contact Information

	Dr Nicole Yvonne Edwards, DO
	1313 Saint Andrews Rd Ste 3, Columbia, SC 29210
	(803) 543-2913
	(803) 708-4365

Map and Direction

Physician's Profile

Full Name	Dr Nicole Yvonne Edwards
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	1313 Saint Andrews Rd Ste 3, Columbia, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicole Yvonne Edwards graduated from medical school in 2007

NPI Data:

NPI Number: 1639378987
Provider Enumeration Date: 07/17/2007
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 7113057068
Enrollment ID: I20100619000053

Medical Identifiers

Medical identifiers for Dr Nicole Yvonne Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639378987	NPI	-	NPPES
010909	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1090 (South Carolina)	Primary
207Q00000X	Family Medicine	2024041698 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Regional Health System	Osage beach, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Active Life Health Of Columbia Llc	3577973064	5
Mercy East Ambulatory Services Llc	2365739240	100
Lake Regional Health System	9133026776	114

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 Nicole Yvonne Edwards allows following entities to bill medicare on her behalf.

Entity Name	Active Life Health Of Columbia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104425529 PECOS PAC ID: 3577973064 Enrollment ID: O20201112001583

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 Nicole Yvonne 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 Nicole Yvonne Edwards, DO 7001 Saint Andrews Rd Ste 428, Columbia, SC 29212-1137 Ph: (803) 543-2913	Dr Nicole Yvonne Edwards, DO 1313 Saint Andrews Rd Ste 3, Columbia, SC 29210 Ph: (803) 543-2913

Reviews and Comments

Family Medicine Doctors in Columbia, SC

Pamela I Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7033 Saint Andrews Rd Ste 101, Columbia, SC 29212 Phone: 803-749-1155 Fax: 803-749-1786
Dr. Elmer Gordon Long, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1818 Henderson St, Columbia, SC 29201 Phone: 803-758-2600 Fax: 803-253-8896
Dr. Charles Joseph Carter Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-6113 Fax: 803-434-7231
April Tamara Singleton Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4500 Forest Dr Ste A, Columbia, SC 29206 Phone: 803-738-9522 Fax: 803-787-8026
Dr. Hance H Oliver, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 300, Columbia, SC 29204 Phone: 803-749-5101 Fax: 803-933-3045
Justin Andrew Mullner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Drive, Family Medicine Department, Columbia, SC 29203 Phone: 803-434-6116 Fax: 803-434-8545
Kristian Jorgensen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-7399

Dr Nicole Yvonne Edwards, DO - Medicare Family Practice in Columbia, SC