Mr Jean Simon Joel Edouard, PA is a medicare enrolled "Physician Assistant" physician in Peoria, Arizona. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Angels Valley Community Healthcare Center Pllc and his current practice location is
6739 W Cactus Rd, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 527-8038.
Mr Jean Simon Joel Edouard is licensed to practice in Arizona (license number 8276) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619526217.
Physician's Profile
| Full Name | Mr Jean Simon Joel Edouard |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 6739 W Cactus Rd, Peoria, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jean Simon Joel Edouard graduated from medical school in 2021
NPI Data:
- NPI Number: 1619526217
- Provider Enumeration Date: 09/05/2019
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082003793
- Enrollment ID: I20211118002881
Medical Identifiers
Medical identifiers for Mr Jean Simon Joel Edouard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619526217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | NJDCATEMP-000588 (New Jersey) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 21-308 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | PA01253 (Rhode Island) | Secondary |
| 363A00000X | Physician Assistant | 000430-P.A (Puerto Rico) | Secondary |
| 363A00000X | Physician Assistant | NJDCATEMP-00291 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 8276 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Angels Valley Community Healthcare Center Pllc | 8628452927 | 23 |
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. Mr Jean Simon Joel Edouard 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 |
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Mr Jean Simon Joel Edouard, PA
6739 W Cactus Rd,
Peoria, AZ 85381-5311
Ph: (520) 527-8038 | Mr Jean Simon Joel Edouard, PA
6739 W Cactus Rd,
Peoria, AZ 85381-5311
Ph: (520) 527-8038 |
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