Audrey Jane I Maddox, MD is a medicare enrolled "Pediatrics" physician in Cochran, Georgia. Her current practice location is
173 W Dykes St Ste 102, Cochran, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 934-0329.
Audrey Jane I Maddox is licensed to practice in Georgia (license number 067679) 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 1396974093.
Physician's Profile
Full Name | Audrey Jane I Maddox |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 173 W Dykes St Ste 102, Cochran, Georgia |
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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: 1396974093
- Provider Enumeration Date: 07/02/2009
- Last Update Date: 08/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 0749430692
- Enrollment ID: I20121030000425
Medical Identifiers
Medical identifiers for Audrey Jane I Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396974093 | NPI | - | NPPES |
067679 | Other | GA | GA COMPOSITE MEDICAL BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | LL31769 (South Carolina) | Secondary |
208000000X | Pediatrics | 067679 (Georgia) | 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. Audrey Jane I Maddox allows following entities to bill medicare on her behalf.
Entity Name | Taylor Regional Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720189517 PECOS PAC ID: 6800795154 Enrollment ID: O20040426000736 |
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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. Audrey Jane I 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 |
Audrey Jane I Maddox, MD 222 Perry Hwy, Hawkinsville, GA 31036-6748 Ph: (478) 783-4080 | Audrey Jane I Maddox, MD 173 W Dykes St Ste 102, Cochran, GA 31014-6921 Ph: (478) 934-0329 |
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