Paul Edwards, PMHNP in Park Ridge, IL - Medicare Registered Nurse

Paul Edwards, PMHNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Park Ridge, Illinois. His current practice location is 1440 Renaissance Dr Ste 320, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 759-9110.

Paul Edwards is licensed to practice in Illinois (license number 209.014442) 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 1073060620.

Contact Information

	Paul Edwards, PMHNP
	1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471
	(847) 759-9110
	Not Available

Map and Direction

Provider's Profile

Full Name	Paul Edwards
Gender	Male
Speciality	Registered Nurse - Psychiatric/mental Health
Location	1440 Renaissance Dr Ste 320, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073060620
Provider Enumeration Date: 09/01/2016
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0547548554
Enrollment ID: I20161026001415

Medical Identifiers

Medical identifiers for Paul Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073060620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	209.014442 (Illinois)	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. Paul Edwards allows following entities to bill medicare on his behalf.

Entity Name	Lutheran Social Services Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063637684 PECOS PAC ID: 2163403551 Enrollment ID: O20050322001114

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. Paul 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
Paul Edwards, PMHNP 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110	Paul Edwards, PMHNP 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110

Reviews and Comments

Registered Nurse Nurses in Park Ridge, IL

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Ms. Delicia Holmes, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1580 N Northwest Hwy Ste 121a, Park Ridge, IL 60068 Phone: 847-813-5779 Fax: 847-813-5216
Ava Marie Margitza, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 231 N Northwest Hwy, Park Ridge, IL 60068 Phone: 773-942-6336
Faithe Metellus, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 224-985-5824
Marta Polakowski, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-708-5224

Paul Edwards, PMHNP - Medicare Registered Nurse in Park Ridge, IL