EDWARD MAXWELL PA - NPI 1972515831 - Physician Assistant in San Antonio, TX

Q: What is Edward Maxwell's NPI number?

The NPI number for Edward Maxwell is 1972515831. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Edward Maxwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Maxwell was last updated on May 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Edward Maxwell Pa NPPES

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

EDWARD MAXWELL PA (NPI 1972515831) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA01907) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972515831

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameEDWARD MAXWELLCredential: PA

Location Address4800 FREDERICKSBURG RD, SUITE 127San Antonio, TX 78229-3628

Mailing AddressPo Box 1239Troy, MI 48099-1239 · (248) 824-6600 · Fax (248) 324-1477

Phone(210) 733-5072

Fax(210) 733-8649

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateMay 20, 2013

✔ NPI 1972515831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA01907

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA01907 (TX)

4800 FREDERICKSBURG RD, San Antonio, TX 78229

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Other Identifiers 2

Medicare PIN81N235TX

Medicaid191882301TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Maxwell Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

LEA ANN CARVER NP

Nurse Practitioner

4800 FREDERICKSBURG RD, STE 127
SAN ANTONIO, TX 78229

Bexar County (210) 733-5072

TIM SENTHAVISOUK NP

Nurse Practitioner