| Mr John Sawyer Edwards Iii, PA-C | |
|
2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Mr John Sawyer Edwards Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 2817 Rock Merritt Ave, Fort Bragg, North Carolina |
| 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 |
|---|---|---|---|
| 1942261219 | NPI | - | NPPES |
| PA61066250 | Other | WA | WASHINGTON STATE DEPT. OF HEALTH |
| 2158072 | Medicaid | WA | |
| 8101132 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA61066250 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Basin Health Association | 4486564309 | 44 |
| Entity Name | Columbia Basin Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528316379 PECOS PAC ID: 4486564309 Enrollment ID: O20040209000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Sawyer Edwards Iii, PA-C 2817 Rock Merritt Avenue, Fort Bragg, NC 28310-0001 Ph: Not Available | Mr John Sawyer Edwards Iii, PA-C 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 |
Robert Austin Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Bonnie Claire-kamei Barkley, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Mr. Brent Francis Bachman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Street, Fort Bragg, NC 28310 Phone: 910-907-8617 |
Johnathan Hoggatt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 |
Mr. Thomas Jones Matherly, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road, Womack Army Medical Center Dooh Pes Meb, Fort Bragg, NC 28310 Phone: 910-907-8602 Fax: 910-907-8602 |
Chelsea Joanna Mccully, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Thad J Dabback, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8707 |