Mr Nathan John Edmundson, PSYD in Alexandria, VA - Medicare Psychologist Provider

Mr Nathan John Edmundson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Alexandria, Virginia. His current practice location is 118 E Del Ray Ave, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 348-6427.

Mr Nathan John Edmundson is licensed to practice in Virginia (license number 0810005996) 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 1861688384.

Contact Information

	Mr Nathan John Edmundson, PSYD
	118 E Del Ray Ave, Alexandria, VA 22301
	(703) 348-6427
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Nathan John Edmundson
Gender	Male
Speciality	Psychologist - Clinical
Location	118 E Del Ray Ave, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861688384
Provider Enumeration Date: 09/18/2007
Last Update Date: 07/20/2018

Medicare PECOS Information:

PECOS PAC ID: 8123242187
Enrollment ID: I20240118003791

Medical Identifiers

Medical identifiers for Mr Nathan John Edmundson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861688384	NPI	-	NPPES
36550264	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0004017 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	PSY29380 (California)	Secondary
103TC0700X	Psychologist - Clinical	0810005996 (Virginia)	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 Nathan John Edmundson allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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 Nathan John Edmundson 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 Nathan John Edmundson, PSYD 306 1/2 E Del Ray Ave, Alexandria, VA 22301-1234 Ph: (626) 665-7582	Mr Nathan John Edmundson, PSYD 118 E Del Ray Ave, Alexandria, VA 22301 Ph: (703) 348-6427

Reviews and Comments

Psychologist in Alexandria, VA

Jennifer Mcewan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2560 Huntington Ave Ste 302, Alexandria, VA 22303 Phone: 703-765-1400
Dr. Marcus Raymond Patterson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Fairfax St Ste 102-b, Alexandria, VA 22314 Phone: 202-596-1031
Iris Elizabeth Baly, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 200 N Pickett St Apt 1012, Alexandria, VA 22304 Phone: 510-358-2554
Brittany Storti, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1340 Braddock Pl, Alexandria, VA 22314 Phone: 703-619-8139
Dr. Judith Mae Rumreich, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 King St, 302, Alexandria, VA 22314 Phone: 703-684-9215
Dr. Tonya L Fridy, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Washington St, Ste. 206, Alexandria, VA 22314 Phone: 703-838-9878 Fax: 703-838-9879
Dr. Maria B Foley, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 S Washington St, Suite 301, Alexandria, VA 22314 Phone: 703-795-5412

Mr Nathan John Edmundson, PSYD - Medicare Psychologist in Alexandria, VA