Charlene Marie Edman, RN, NP in San Francisco, CA

Charlene Marie Edman, RN, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in San Francisco, California. Her current practice location is 2 Koret Way, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (925) 212-4244.

Charlene Marie Edman is licensed to practice in California (license number 95030845) 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 1851137814.

Contact Information

	Charlene Marie Edman, RN, NP
	2 Koret Way, San Francisco, CA 94143-2218
	(925) 212-4244
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlene Marie Edman
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2 Koret Way, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851137814
Provider Enumeration Date: 07/08/2024
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2466975545
Enrollment ID: I20250328003355

Medical Identifiers

Medical identifiers for Charlene Marie Edman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851137814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95030845 (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. Charlene Marie Edman allows following entities to bill medicare on her behalf.

Entity Name	East Bay Aids Center Medical Group,inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689600314 PECOS PAC ID: 2668497843 Enrollment ID: O20051006000615

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. Charlene Marie Edman 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
Charlene Marie Edman, RN, NP 555 30th St, Oakland, CA 94609-3201 Ph: (925) 212-4424	Charlene Marie Edman, RN, NP 2 Koret Way, San Francisco, CA 94143-2218 Ph: (925) 212-4244

Reviews and Comments

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Charlene Marie Edman, RN, NP - Medicare Nurse Practitioner in San Francisco, CA