| Kelley R Edwards, FNP-C | |
|
244 Westwood Blvd, Columbus, IN 47201-5687 | |
| (812) 669-0141 | |
| (812) 799-7062 |
| Full Name | Kelley R Edwards |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 244 Westwood Blvd, Columbus, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932656311 | NPI | - | NPPES |
| IN1125026 | Other | IN | MEDICARE PTAN |
| 201386320 | Medicaid | IN | |
| IN1127025 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71006506A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 568 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659796225 PECOS PAC ID: 3779471701 Enrollment ID: O20140425001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley R Edwards, FNP-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Kelley R Edwards, FNP-C 244 Westwood Blvd, Columbus, IN 47201-5687 Ph: (812) 669-0141 |
Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804 | |
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640 | |
Carolyn Behling, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400 | |
Shelley L Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781 | |
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660 | |
Heather Ann Brott, APRN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste C, Columbus, IN 47201 Phone: 812-372-8426 |