Dr Stephen William Maddock, MD, PHD is a medicare enrolled "General Practice" physician in Windsor, Virginia. His current practice location is
70 E Windsor Blvd, Windsor, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 242-9191.
Dr Stephen William Maddock is licensed to practice in Virginia (license number 0101233391) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821060328.
Physician's Profile
Full Name | Dr Stephen William Maddock |
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Gender | Male |
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Speciality | General Practice |
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Location | 70 E Windsor Blvd, Windsor, Virginia |
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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: 1821060328
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 06/06/2008
Medicare PECOS Information:
- PECOS PAC ID: 0941238166
- Enrollment ID: I20190212002500
Medical Identifiers
Medical identifiers for Dr Stephen William Maddock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821060328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101233391 (Virginia) | Primary |
208D00000X | General Practice | 01057012A (Indiana) | Secondary |
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. Dr Stephen William Maddock allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
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Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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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. Dr Stephen William Maddock 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 |
Dr Stephen William Maddock, MD, PHD 70 E Windsor Blvd, Windsor, VA 23487-9443 Ph: (757) 242-9191 | Dr Stephen William Maddock, MD, PHD 70 E Windsor Blvd, Windsor, VA 23487-9443 Ph: (757) 242-9191 |
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