Caroline Edmondson, is a medicare enrolled "Physical Therapist" provider in Kingston Springs, Tennessee. Her current practice location is
111 W Kingston Springs Rd, Kingston Springs, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 412-1131.
Caroline Edmondson is licensed to practice in Tennessee (license number 15693) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891537304.
Healthcare Provider's Profile
| Full Name | Caroline Edmondson |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 111 W Kingston Springs Rd, Kingston Springs, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891537304
- Provider Enumeration Date: 06/07/2024
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153869235
- Enrollment ID: I20240820004262
Medical Identifiers
Medical identifiers for Caroline Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891537304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 15693 (Tennessee) | 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. Caroline Edmondson allows following entities to bill medicare on her behalf.
| Provider Name | Results-ast Jv Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780291948
PECOS PAC ID: 4486066396
Enrollment ID: O20201217003061 |
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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. Caroline Edmondson 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 |
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Caroline Edmondson,
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424
Ph: (423) 238-7217 | Caroline Edmondson,
111 W Kingston Springs Rd,
Kingston Springs, TN 37082-9121
Ph: (615) 412-1131 |
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