MARY EDEM NP
NPI 1760787030
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA
About Mary Edem Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY EDEM NP (NPI 1760787030) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (20107) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Edem Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92404
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Edem's NPI number?
The NPI number for Mary Edem is 1760787030. It was assigned to this individual provider in the NPPES registry on January 18, 2011.
Where is Mary Edem located?
Mary Edem practices at 190 E Highland Ave, San Bernardino, CA 92404. The listed phone number is (909) 882-4788.
What is Mary Edem's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mary Edem enrolled in Medicare?
Yes. Mary Edem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Edem accept?
Health plans from Providence Health Plan list Mary Edem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Edem was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Edem, NP · NPI 1760787030
Psychiatric/Mental Health physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since January 18, 2011.
## Identity
- **NPI:** 1760787030 (Entity type: Individual)
- **Enumerated:** January 18, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 20107 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 E HIGHLAND AVE, San Bernardino, CA 92404-3658
- **Phone:** (909) 882-4788 · **Fax:** (877) 860-7268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 23, 2016
- **Other identifiers:** Medicare PIN CA205848-CA109020 (CA); Medicare PIN CA205847-GA222A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1760787030) · Data from the CMS NPPES public registry.