Mr Edward Lee Patrick, PA-C is a medicare enrolled "Physician Assistant - Medical" in E Stroudsburg, Pennsylvania. His current practice location is
206 E Brown St, E Stroudsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 421-4000.
Mr Edward Lee Patrick is licensed to practice in Pennsylvania (license number MA053183) 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 1285822288.
Provider's Profile
Full Name | Mr Edward Lee Patrick |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 206 E Brown St, E Stroudsburg, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285822288
- Provider Enumeration Date: 10/04/2007
- Last Update Date: 01/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850466939
- Enrollment ID: I20130812000631
Medical Identifiers
Medical identifiers for Mr Edward Lee Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285822288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 016635 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | MA053183 (Pennsylvania) | Primary |
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. Mr Edward Lee Patrick 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 |
Mr Edward Lee Patrick, PA-C 244 Barry's Road, White Haven, PA 18661 Ph: (570) 443-7959 | Mr Edward Lee Patrick, PA-C 206 E Brown St, E Stroudsburg, PA 18301-3006 Ph: (570) 421-4000 |
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