| Edwards Clinic, PSC | |
|
204 Town Branch Road Manchester KY 40962-1322 | |
| (606) 598-8766 | |
| (606) 598-1903 |
| Full Name | Edwards Clinic, PSC |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 Town Branch Road, Manchester, Kentucky |
| Authorized Official Name and Position | Dana Edwards (PRESIDENT) |
| Authorized Official Contact | 6065988766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Clinic, PSC 204 Town Branch Rd Manchester KY 40962-1322 Ph: (606) 598-8766 | Edwards Clinic, PSC 204 Town Branch Road Manchester KY 40962-1322 Ph: (606) 598-8766 |
| NPI Number | 1154635407 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Medicare PECOS PAC ID | 9436333465 |
|---|---|
| Medicare Enrollment ID | O20110415000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154635407 | NPI | - | NPPES |
| 7100157720 | Medicaid | KY |
| Provider Name | Anita F Cornett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770553463 PECOS PAC ID: 5395659130 Enrollment ID: I20031121000491 |
| Provider Name | Dana P Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164424131 PECOS PAC ID: 2769434851 Enrollment ID: I20050217000032 |
| Provider Name | Eva a Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396964102 PECOS PAC ID: 3971899766 Enrollment ID: I20161004000389 |
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