Ellen E Edwards, DO - Medicare Family Medicine in San Diego, CA

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Ellen E Edwards, DO is a medicare enrolled "Family Medicine" physician in San Diego, California. Her current practice location is 15025 Innovation Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 806-7944.

Ellen E Edwards is licensed to practice in California (license number 20A8613) 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 1245332923.

Contact Information

Ellen E Edwards, DO
15025 Innovation Dr,
San Diego, CA 92128-3409
(858) 806-7944
Not Available

Map and Direction




Physician's Profile

Full NameEllen E Edwards
GenderFemale
SpecialityFamily Medicine
Location15025 Innovation Dr, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245332923
  • Provider Enumeration Date: 09/02/2006
  • Last Update Date: 12/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9234121682
  • Enrollment ID: I20040402001097

Medical Identifiers

Medical identifiers for Ellen E Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245332923NPI-NPPES
P00728795OtherCARRM
020A86130OtherCABLUE SHIELD OF CA
00AX86130MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A8613 (California)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. Ellen E Edwards allows following entities to bill medicare on her behalf.
Entity NameSenior Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629253505
PECOS PAC ID: 0446339469
Enrollment ID: O20080501000744
Entity NameRawi Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942782677
PECOS PAC ID: 3678826047
Enrollment ID: O20181101000632
Entity NameVeeone Medical Group Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477199321
PECOS PAC ID: 4385044452
Enrollment ID: O20210610001955
Entity NameVeeone Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156558
PECOS PAC ID: 6800262437
Enrollment ID: O20221114001814

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. Ellen E 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 AddressPractice Location Address
Ellen E Edwards, DO
10790 Rancho Bernardo Rd,
San Diego, CA 92127-5705

Ph: (858) 605-7836		Ellen E Edwards, DO
15025 Innovation Dr,
San Diego, CA 92128-3409

Ph: (858) 806-7944

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.