Jessica W Madden, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Willowick, Ohio. Her current practice location is
31731 Lake Shore Blvd, Willowick, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 313-2016.
Jessica W Madden is licensed to practice in Ohio (license number 35.087675) 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 1679511976.
Physician's Profile
Full Name | Jessica W Madden |
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Gender | Female |
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Speciality | Pediatrics - Neonatal-perinatal Medicine |
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Location | 31731 Lake Shore Blvd, Willowick, Ohio |
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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: 1679511976
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 04/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032263975
- Enrollment ID: I20160909001740
Medical Identifiers
Medical identifiers for Jessica W Madden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679511976 | NPI | - | NPPES |
1679511976 | Medicaid | WI | |
52748 | Other | WI | WI LICENSE |
35.087675 | Other | OH | STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35.087675 (Ohio) | 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. Jessica W Madden allows following entities to bill medicare on her behalf.
Entity Name | Lake Hospital System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
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Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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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. Jessica W Madden 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 |
Jessica W Madden, MD 31731 Lake Shore Blvd, Willowick, OH 44095-3529 Ph: (216) 313-2016 | Jessica W Madden, MD 31731 Lake Shore Blvd, Willowick, OH 44095-3529 Ph: (216) 313-2016 |
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