Amanda Catherine Edison
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
Practice location Address checks out
157 Stockade RdSouth Glastonbury, CT 06073-2118
Phone: (860) 331-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
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
| 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 |