KULOT DI ROSA DR. CHALAN KIYA HEALTH PROFESSIONAL CORPORATION
SAIPAN, MP 96950-2878 US PECOS Enrolled
Overview
Edwin L Clonts is a Family Medicine Physician in the SAIPAN area. Edwin L Clonts primary office location is at KULOT DI ROSA DR. CHALAN KIYA and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1619955549 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 0522 | MP |
| 23309 | MN |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | MP | Y |
| Family Medicine Physician - Taxonomy Code 207Q00000X | MN | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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