| Mr Alexander Allan Edwards, PA-C | |
|
431 Remington Blvd, Bolingbrook, IL 60440-4918 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Mr Alexander Allan Edwards |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 431 Remington Blvd, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356036644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 732923 (Wisconsin) | Primary |
| 363A00000X | Physician Assistant | 085.009553 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radial Wound Pllc | 4082140918 | 7 |
| Radial Wound Pllc | 4082140918 | 7 |
| Entity Name | Radial Health SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215954185 PECOS PAC ID: 4385537299 Enrollment ID: O20040204001001 |
| Entity Name | Advanced Physicians, S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075288 PECOS PAC ID: 6103879713 Enrollment ID: O20050223000649 |
| Entity Name | Global Wound Care Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20231211003046 |
| Entity Name | Radial Wound PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740009042 PECOS PAC ID: 4082140918 Enrollment ID: O20241216000753 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alexander Allan Edwards, PA-C Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Mr Alexander Allan Edwards, PA-C 431 Remington Blvd, Bolingbrook, IL 60440-4918 Ph: (872) 231-3162 |
Amanda Hunter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440 Phone: 630-759-1248 |
Bao Ling Pauline Soh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 899 S Weber Rd Ste A, Bolingbrook, IL 60490 Phone: 630-340-1620 Fax: 331-757-5320 |
Tracey Ho, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 693 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-326-8766 |
Janet Ronquillo Barcarse, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 S. Schmidt Road, Suite 110, Bolingbrook, IL 60440 Phone: 630-312-4562 Fax: 630-312-6651 |
Rachelle Mae S Valenzuela, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd Ste 130, Bolingbrook, IL 60440 Phone: 630-759-1248 |
Jennifer Boyer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Remington Blvd, Suite 200, Bolingbrook, IL 60440 Phone: 630-312-7755 |
Lindsey Ann Lynch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440 Phone: 630-646-5777 Fax: 630-646-5729 |