Bryan Maddox, NP | |
1373 E State Road 62, Madison, IN 47250-7328 | |
(812) 801-0800 | |
Not Available |
Full Name | Bryan Maddox |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1373 E State Road 62, Madison, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215687058 | NPI | - | NPPES |
7100813710 | Medicaid | KY | |
300062802 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CS0365835 (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71012403A (Indiana) | Primary |
Entity Name | Norton - Kings Daughters Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508269200 PECOS PAC ID: 5597867184 Enrollment ID: O20090527000129 |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
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Bryan Maddox, NP 4715 N 350 W, Madison, IN 47250-8043 Ph: (765) 717-1790 | Bryan Maddox, NP 1373 E State Road 62, Madison, IN 47250-7328 Ph: (812) 801-0800 |
Sara Nicole Thorpe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0800 | |
Sandra Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Clifty Dr Ste J, Madison, IN 47250 Phone: 812-274-0713 | |
Mary Victoria Conners, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Broadway St, Madison, IN 47250 Phone: 812-801-0338 Fax: 812-801-0777 | |
Mandy Corinne Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62 # Level3, Madison, IN 47250 Phone: 812-801-0868 Fax: 812-801-8070 | |
Jamie Leigh Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0229 Fax: 812-801-8705 | |
Alicia D Mincher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0800 | |
Branden A Bledsoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Clifty Dr, Madison, IN 47250 Phone: 502-895-7761 |