John L Maddox, MD in Greenbrae, CA - Medicare Dermatology

John L Maddox, MD is a medicare enrolled "Dermatology" physician in Greenbrae, California. His current practice location is 1300 S Eliseo Dr Ste 207, Greenbrae, California. You can reach out to his office (for appointments etc.) via phone at (415) 925-0550.

John L Maddox is licensed to practice in California (license number G40606) 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 1790837508.

Contact Information

	John L Maddox, MD
	1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015
	(415) 925-0550
	(415) 925-9062

Map and Direction

Physician's Profile

Full Name	John L Maddox
Gender	Male
Speciality	Dermatology
Location	1300 S Eliseo Dr Ste 207, Greenbrae, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790837508
Provider Enumeration Date: 01/18/2007
Last Update Date: 07/01/2015

Medicare PECOS Information:

PECOS PAC ID: 8921294281
Enrollment ID: I20101129000366

Medical Identifiers

Medical identifiers for John L Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790837508	NPI	-	NPPES
00G406060	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	G40606 (California)	Primary
207NP0225X	Dermatology - Pediatric Dermatology	G40606 (California)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	G40606 (California)	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. John L Maddox allows following entities to bill medicare on his behalf.

Entity Name	Greenbrae Dermatology, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174898654 PECOS PAC ID: 4789832908 Enrollment ID: O20130123000375

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. John L 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
John L Maddox, MD 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 Ph: (415) 925-0550	John L Maddox, MD 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 Ph: (415) 925-0550

Reviews and Comments

Dermatology Doctors in Greenbrae, CA

Cheryl Ann Tanasovich, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904 Phone: 415-925-0550 Fax: 415-925-9062
Dr. Benjamin Joseph Nichols, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904 Phone: 415-925-0550 Fax: 415-925-9062
Dr. Diana Deangelis Parnell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 S Eliseo Dr, Suite 2, Greenbrae, CA 94904 Phone: 415-461-1036 Fax: 415-461-1043

John L Maddox, MD - Medicare Dermatology in Greenbrae, CA