Edwina Elrod Eley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Louisiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tensas Community Health Center Inc and her current practice location is
7356 Highway 509, Mansfield, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 871-1633.
Edwina Elrod Eley is licensed to practice in Louisiana (license number AP08431) 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 1144690645.
Provider's Profile
Full Name | Edwina Elrod Eley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 7356 Highway 509, Mansfield, Louisiana |
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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:
- Edwina Elrod Eley graduated from nursing school in 2015
NPI Data:
- NPI Number: 1144690645
- Provider Enumeration Date: 09/28/2015
- Last Update Date: 09/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 2567760325
- Enrollment ID: I20160411001829
Medical Identifiers
Medical identifiers for Edwina Elrod Eley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144690645 | NPI | - | NPPES |
2407058 | Medicaid | LA | |
CAQH | Other | | 13629971 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP08431 (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tensas Community Health Center Inc | 4385657139 | 4 |
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. Edwina Elrod Eley allows following entities to bill medicare on her behalf.
Entity Name | Tensas Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720054075 PECOS PAC ID: 4385657139 Enrollment ID: O20100301000042 |
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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. Edwina Elrod Eley 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 |
Edwina Elrod Eley, FNP 104 Verona St, Newellton, LA 71357-3502 Ph: (318) 871-1633 | Edwina Elrod Eley, FNP 7356 Highway 509, Mansfield, LA 71052 Ph: (318) 871-1633 |
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