Kevin W Maddox, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Ada, Oklahoma. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2009 and has 15 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Chickasaw Nation Division Of Health Chickasaw Nation Medical Center, Southern Oklahoma Pathology Assoc Inc and his current practice location is
1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 421-4570.
Kevin W Maddox is licensed to practice in Oklahoma (license number 5590) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598082398.
Physician's Profile
Full Name | Kevin W Maddox |
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Gender | Male |
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Speciality | Pathology |
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Experience | 15 Years |
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Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kevin W Maddox attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2009
NPI Data:
- NPI Number: 1598082398
- Provider Enumeration Date: 05/03/2010
- Last Update Date: 09/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 6002033735
- Enrollment ID: I20140804001506
Medical Identifiers
Medical identifiers for Kevin W Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598082398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 5590 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center | 8426957523 | 219 |
Southern Oklahoma Pathology Assoc Inc | 9739162694 | 2 |
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. Kevin W Maddox allows following entities to bill medicare on his behalf.
Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
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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. Kevin W 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 |
Kevin W Maddox, DO Po Box 20452, Sopa/apa Cred, Columbus, OH 43220-0452 Ph: (614) 442-2406 | Kevin W Maddox, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570 |
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