Edyn Mckinnon, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Axson, Georgia. Her current practice location is
3950 Ga Highway 64 E, Axson, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 592-3152.
Edyn Mckinnon is licensed to practice in Georgia (license number RN216659) 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 1235595604.
Provider's Profile
| Full Name | Edyn Mckinnon |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 3950 Ga Highway 64 E, Axson, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235595604
- Provider Enumeration Date: 01/14/2016
- Last Update Date: 09/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163711961
- Enrollment ID: I20160518001067
Medical Identifiers
Medical identifiers for Edyn Mckinnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235595604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN216659 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11021035 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN216659 (Georgia) | 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. Edyn Mckinnon allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639 |
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| Entity Name | Gateway Behavioral Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558478214
PECOS PAC ID: 3173510237
Enrollment ID: O20040429000700 |
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| Entity Name | Hospital Authority Of Jeff Davis County Georgia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912902263
PECOS PAC ID: 4981692472
Enrollment ID: O20040504000404 |
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| Entity Name | Compassionate Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629506787
PECOS PAC ID: 3779825716
Enrollment ID: O20190423002517 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220315000829 |
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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. Edyn Mckinnon 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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Edyn Mckinnon,
3950 Ga Highway 64 E,
Axson, GA 31624-2032
Ph: () - | Edyn Mckinnon,
3950 Ga Highway 64 E,
Axson, GA 31624-2032
Ph: (912) 592-3152 |
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