MR. EDWIN LYSLE PRICE RPAC - NPI 1124129911 - Physician Assistant in Derby, KS

Q: What is Edwin Price's NPI number?

The NPI number for Edwin Price is 1124129911. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Edwin Price's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Price was last updated on July 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Edwin Lysle Price Rpac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWIN LYSLE PRICE RPAC (NPI 1124129911) is an individual medical provider in Derby, Kansas, licensed in Kansas (15-00248) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124129911

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. EDWIN LYSLE PRICECredential: RPAC

Location Address606 MULBERRY RDDerby, KS 67037-3532

Mailing Address1725 Tiara Pines DrDerby, KS 67037-3933 · (316) 788-5369

Phone(316) 788-3787

Fax(316) 788-6930

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 19, 2013

✔ NPI 1124129911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KS · 15-00248

606 MULBERRY RD, Derby, KS 67037

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Other Identifiers 4

OtherP00099501KS · Railroad Medicare

Medicare NSC1303200001KS

Other15-00248KS · Ks St Board License

Medicare UPINR31993KS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edwin Lysle Price Rpac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers23 claims53 services$5.12 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers14 claims71 services$1.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHERINE E. VITOSH M.D.

Family Medicine