Mrs Benita Eileen Madison, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Selma, Alabama. Her current practice location is
14 Meadowview Cir, Selma, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 328-1930.
Mrs Benita Eileen Madison is licensed to practice in Texas (license number 202379) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053633792.
Healthcare Provider's Profile
Full Name | Mrs Benita Eileen Madison |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 14 Meadowview Cir, Selma, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053633792
- Provider Enumeration Date: 02/22/2010
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305280736
- Enrollment ID: I20240214000341
Medical Identifiers
Medical identifiers for Mrs Benita Eileen Madison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053633792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 867 (Oklahoma) | Secondary |
106H00000X | Marriage & Family Therapist | L 304 (Alabama) | Secondary |
106H00000X | Marriage & Family Therapist | 202379 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Benita Eileen Madison allows following entities to bill medicare on her behalf.
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Benita Eileen Madison is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Benita Eileen Madison, LMFT 14 Meadowview Cir, Selma, AL 36701-6925 Ph: (334) 328-1930 | Mrs Benita Eileen Madison, LMFT 14 Meadowview Cir, Selma, AL 36701-6925 Ph: (334) 328-1930 |
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