Amanda Jean Maddox, FNP is a medicare enrolled "Nurse Practitioner" physician in Summerdale, Alabama. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
511 State Highway 59 N, Summerdale, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 989-9400.
Amanda Jean Maddox is licensed to practice in Alabama (license number 1-150202) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073109708.
Physician's Profile
| Full Name | Amanda Jean Maddox |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 511 State Highway 59 N, Summerdale, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Jean Maddox graduated from medical school in 2020
NPI Data:
- NPI Number: 1073109708
- Provider Enumeration Date: 12/16/2020
- Last Update Date: 10/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729494174
- Enrollment ID: I20210309001995
Medical Identifiers
Medical identifiers for Amanda Jean Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073109708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1-150202 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | 1-150202 (Alabama) | 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. Amanda Jean Maddox allows following entities to bill medicare on her behalf.
| Entity Name | American Family Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157 |
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| Entity Name | Metro Infectious Disease Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20131119001543 |
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| Entity Name | Gulf Family Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285374470
PECOS PAC ID: 5799162723
Enrollment ID: O20220513000575 |
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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. Amanda Jean Maddox 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 |
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Amanda Jean Maddox, FNP
Po Box 703,
Summerdale, AL 36580-0703
Ph: (251) 989-9400 | Amanda Jean Maddox, FNP
511 State Highway 59 N,
Summerdale, AL 36580-3686
Ph: (251) 989-9400 |
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