Mrs Ebony Anna Edouard, FNP in Bronx, NY - Medicare Nurse Practitioner

Mrs Ebony Anna Edouard, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 529 Courtlandt Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 542-0255.

Mrs Ebony Anna Edouard is licensed to practice in New York (license number 349869) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114482452.

Contact Information

	Mrs Ebony Anna Edouard, FNP
	529 Courtlandt Ave, Bronx, NY 10451-5007
	(718) 542-0255
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ebony Anna Edouard
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	529 Courtlandt Ave, Bronx, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Ebony Anna Edouard graduated from nursing school in 2021

NPI Data:

NPI Number: 1114482452
Provider Enumeration Date: 01/31/2019
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8729452081
Enrollment ID: I20250404000208

Medical Identifiers

Medical identifiers for Mrs Ebony Anna Edouard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114482452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	349869 (New York)	Primary
163WC1500X	Registered Nurse - Community Health	629854 (New York)	Secondary

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. Mrs Ebony Anna Edouard allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559

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. Mrs Ebony Anna Edouard 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
Mrs Ebony Anna Edouard, FNP 51 Herrick Ave, Teaneck, NJ 07666-4155 Ph: (646) 732-9064	Mrs Ebony Anna Edouard, FNP 529 Courtlandt Ave, Bronx, NY 10451-5007 Ph: (718) 542-0255

Reviews and Comments

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Mrs Ebony Anna Edouard, FNP - Medicare Nurse Practitioner in Bronx, NY