Mr Kennedy A Edwards, BSN, RN, CCRN in Mobile, AL

Mr Kennedy A Edwards, BSN, RN, CCRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Mobile, Alabama. His current practice location is 1700 Spring Hill Ave Ste 100, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 435-1200.

Mr Kennedy A Edwards is licensed to practice in Alabama (license number 1-166795) 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 1154092781.

Contact Information

	Mr Kennedy A Edwards, BSN, RN, CCRN
	1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416
	(251) 435-1200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kennedy A Edwards
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1700 Spring Hill Ave Ste 100, Mobile, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154092781
Provider Enumeration Date: 09/23/2021
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5890141196
Enrollment ID: I20231023002496

Medical Identifiers

Medical identifiers for Mr Kennedy A Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154092781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	1-1667795 (Alabama)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1-166795 (Alabama)	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. Mr Kennedy A Edwards allows following entities to bill medicare on his behalf.

Entity Name	Imc-diagnostic And Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447201066 PECOS PAC ID: 2860399623 Enrollment ID: O20031218000577

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 Kennedy A 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
Mr Kennedy A Edwards, BSN, RN, CCRN 2201 Seasons Ct, Mobile, AL 36695-8392 Ph: (318) 267-9678	Mr Kennedy A Edwards, BSN, RN, CCRN 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 Ph: (251) 435-1200

Reviews and Comments

Nurse Practitioner Nurses in Mobile, AL

Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852
Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581
Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770
Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565
Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456
Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620
Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281

Mr Kennedy A Edwards, BSN, RN, CCRN - Medicare Nurse Practitioner in Mobile, AL