Madison Faddis, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Overland Park, Kansas. Her current practice location is
8505 College Blvd, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 541-3230.
Madison Faddis is licensed to practice in Kansas (license number 53-83293-121) 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 1073397907.
Physician's Profile
Full Name | Madison Faddis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8505 College Blvd, Overland Park, Kansas |
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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: 1073397907
- Provider Enumeration Date: 08/22/2023
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527502806
- Enrollment ID: I20240627001395
Medical Identifiers
Medical identifiers for Madison Faddis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073397907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 53-83293-121 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 53-83293-121 (Kansas) | Primary |
163W00000X | Registered Nurse | 14-145718-121 (Kansas) | 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. Madison Faddis allows following entities to bill medicare on her behalf.
Entity Name | Epiphany Dermatology Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710444500 PECOS PAC ID: 4082046412 Enrollment ID: O20191122001694 |
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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. Madison Faddis 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 |
Madison Faddis, DNP, FNP-C 8505 College Blvd, Overland Park, KS 66210-1836 Ph: () - | Madison Faddis, DNP, FNP-C 8505 College Blvd, Overland Park, KS 66210-1836 Ph: (913) 541-3230 |
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