Kathleen Shannon Edmunds, MD in Manhattan Beach, CA

Kathleen Shannon Edmunds, MD is a medicare enrolled "Emergency Medicine" physician in Manhattan Beach, California. She went to University Of New Mexico School Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Southern Coos Health District and her current practice location is 111 N Sepulveda Blvd, Ste. 210, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 379-2134.

Kathleen Shannon Edmunds is licensed to practice in New Mexico (license number MD2005-0177) 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 1619055696.

Contact Information

	Kathleen Shannon Edmunds, MD
	111 N Sepulveda Blvd, Ste. 210, Manhattan Beach, CA 90266-6861
	(310) 379-2134
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathleen Shannon Edmunds
Gender	Female
Speciality	Emergency Medicine
Experience	23 Years
Location	111 N Sepulveda Blvd, Manhattan Beach, California
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:

Kathleen Shannon Edmunds attended and graduated from University Of New Mexico School Of Medicine in 2002

NPI Data:

NPI Number: 1619055696
Provider Enumeration Date: 11/01/2006
Last Update Date: 02/05/2008

Medicare PECOS Information:

PECOS PAC ID: 3173567252
Enrollment ID: I20240729003626

Medical Identifiers

Medical identifiers for Kathleen Shannon Edmunds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619055696	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD2005-0177 (New Mexico)	Primary
207P00000X	Emergency Medicine	A101151 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairchild Medical Center	Yreka, CA	Hospital
Southern Coos Hospital & Health Center	Bandon, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Coos Health District	1951219310	18

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. Kathleen Shannon Edmunds allows following entities to bill medicare on her behalf.

Entity Name	Southern Coos Health District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542

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. Kathleen Shannon Edmunds 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
Kathleen Shannon Edmunds, MD 2138 Malcolm Ave, Los Angeles, CA 90025-6306 Ph: (310) 597-0736	Kathleen Shannon Edmunds, MD 111 N Sepulveda Blvd, Ste. 210, Manhattan Beach, CA 90266-6861 Ph: (310) 379-2134

Reviews and Comments

Emergency Medicine Doctors in Manhattan Beach, CA

Gregor Mciver, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 836 14th St, Manhattan Beach, CA 90266 Phone: 310-346-9422
Peter James Bloomfield, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 229 16th St, Manhattan Beach, CA 90266 Phone: 310-218-7002
Dr. Albert Tuong-quang Nguyen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1467 6th St, Manhattan Beach, CA 90266 Phone: 909-528-7026
Sandra Isnasious, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 424-295-0540
David Sung Kwon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 N Sepulveda Blvd, #210, Manhattan Beach, CA 90266 Phone: 310-379-2134
Jose L Cervantes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 N Sepulveda Blvd, #543, Manhattan Beach, CA 90266 Phone: 424-217-3227
Andrea W Wu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 N Sepulveda Blvd, Suite 210, Manhattan Beach, CA 90266 Phone: 310-379-2134

Kathleen Shannon Edmunds, MD - Medicare Emergency Medicine in Manhattan Beach, CA