| Dr Alan Evert Edwards, MD | |
|
1001 Pine St, Renovo, PA 17764-1620 | |
| (570) 923-1019 | |
| Not Available |
| Full Name | Dr Alan Evert Edwards |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1001 Pine St, Renovo, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124003157 | NPI | - | NPPES |
| 0908165 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35062409E (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 35 062409E (Ohio) | Primary |
| Entity Name | Bucktail Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821083700 PECOS PAC ID: 6800852112 Enrollment ID: O20041208000866 |
| Entity Name | Randy R. Shemer D.o. L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336273218 PECOS PAC ID: 0840363495 Enrollment ID: O20080716000056 |
| Entity Name | Bucktail Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821083700 PECOS PAC ID: 6800852112 Enrollment ID: O20110307000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan Evert Edwards, MD 5700 Darrow Road, Suite 106, Hudson, OH 44236-5021 Ph: (330) 656-5911 | Dr Alan Evert Edwards, MD 1001 Pine St, Renovo, PA 17764-1620 Ph: (570) 923-1019 |
Dr. James E. Sweetland, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1001 Pine St, Renovo, PA 17764 Phone: 570-923-1000 Fax: 570-923-1189 |