Amanda Catherine Edison

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518623321

Amanda Catherine Edison is a Physician Assistant in South Glastonbury, Connecticut. Qualified in 2022, 4 years ago. Practices with Integrated Anesthesia Associates LLC, a 402-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying: 4
Licensed in: CT
In the registry since: 2021
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

South Glastonbury, CT

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

80 Seymour St, Hartford, CT 06102-8000 — (860) 972-5201

Specialties & licences

Surgical Physician Assistant (primary)	Taxonomy 363AS0400X · Licence 5583 (CT)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1518623321
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	November 16, 2021
Last updated in NPPES	February 23, 2022
Certification date	February 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2022 (4 years in practice)
Group practice	Integrated Anesthesia Associates Llc — 402 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount