Kent Edwards, FNP-C in Benton, IL - Medicare Nurse Practitioner

Kent Edwards, FNP-C is a medicare enrolled "Nurse Practitioner" in Benton, Illinois. His current practice location is 11488 Sugar Creek Rd, Benton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 927-1610.

Kent Edwards is licensed to practice in Illinois (license number 209016765) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750893889.

Contact Information

	Kent Edwards, FNP-C
	11488 Sugar Creek Rd, Benton, IL 62812-4315
	(618) 927-1610
	Not Available

Map and Direction

Provider's Profile

Full Name	Kent Edwards
Gender	Male
Speciality	Nurse Practitioner
Location	11488 Sugar Creek Rd, Benton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750893889
Provider Enumeration Date: 10/30/2017
Last Update Date: 10/30/2017

Medicare PECOS Information:

PECOS PAC ID: 7618223645
Enrollment ID: I20201203000444

Medical Identifiers

Medical identifiers for Kent Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750893889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209016765 (Illinois)	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. Kent Edwards allows following entities to bill medicare on his behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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. Kent Edwards 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
Kent Edwards, FNP-C 11488 Sugar Creek Rd, Benton, IL 62812-4315 Ph: (618) 927-1610	Kent Edwards, FNP-C 11488 Sugar Creek Rd, Benton, IL 62812-4315 Ph: (618) 927-1610

Reviews and Comments

Nurse Practitioner Nurses in Benton, IL

Ms. Kayla Lorraine Kimmel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-218-3690
Christy K Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Church St Ste B, Benton, IL 62812 Phone: 618-435-9888
Terri Lynn Braddock-hartman, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969
Jacklyn M Fitzpatrick, GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Church St Ste B, Benton, IL 62812 Phone: 618-435-9888 Fax: 618-435-9889
Mrs. Cindy L Lord, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Du Quoin St, Benton, IL 62812 Phone: 618-435-5362
Rose Y Grunert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-7126
Jodi L Biggerstaff, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 E Church St, Benton, IL 62812 Phone: 618-724-2436

Kent Edwards, FNP-C - Medicare Nurse Practitioner in Benton, IL