Michael Wayne Maddox, MD is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Vallecito, California. Michael Wayne Maddox is licensed to practice in California (license number G75593) and his current practice location is 4141 Red Hill Rd, Vallecito, California. He can be reached at his office (for appointments etc.) via phone at
(951) 212-2777.
NPI number for Michael Wayne Maddox is 1528104486 and his current mailing address is Po Box 370, Vallecito, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528104486.
Physician's Profile
| Full Name | Michael Wayne Maddox |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 4141 Red Hill Rd, Vallecito, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528104486
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael Wayne Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528104486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G75593 (California) | Primary |
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. Michael Wayne Maddox is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Wayne Maddox, MD
Po Box 370,
Vallecito, CA 95251-0370
Ph: (951) 212-2777 | Michael Wayne Maddox, MD
4141 Red Hill Rd,
Vallecito, CA 95251
Ph: (951) 212-2777 |
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