Dr Mark Lewis Madder, DMD is a
Dentist based in Ofallon, Illinois. Dr Mark Lewis Madder is licensed to practice in Illinois (license number ) and his current practice location is
1403 S Lincoln, Ste B, Ofallon, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 624-8532.
NPI number for Dr Mark Lewis Madder is 1750398442 and his current mailing address is 1403 S Lincoln, Ste B, Ofallon, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750398442.
Healthcare Provider's Profile
Full Name | Dr Mark Lewis Madder |
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Gender | Male |
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Speciality | Dentist |
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Location | 1403 S Lincoln, Ofallon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750398442
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark Lewis Madder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750398442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (Illinois) | Primary |
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. Dr Mark Lewis Madder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mark Lewis Madder, DMD 1403 S Lincoln, Ste B, Ofallon, IL 62269-2657 Ph: (618) 624-8532 | Dr Mark Lewis Madder, DMD 1403 S Lincoln, Ste B, Ofallon, IL 62269-2657 Ph: (618) 624-8532 |
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