Madison Elizabeth Fentress, PA-C is a
Physician Assistant based in Ft Mitchell, Kentucky. Madison Elizabeth Fentress is licensed to practice in Kentucky (license number TC008) and her current practice location is
3457 Valley Plaza Pkwy, Ft Mitchell, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 344-2760.
NPI number for Madison Elizabeth Fentress is 1366252751 and her current mailing address is 12767 North St, Dillsboro, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366252751.
Provider's Profile
Full Name | Madison Elizabeth Fentress |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3457 Valley Plaza Pkwy, Ft Mitchell, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366252751
- Provider Enumeration Date: 01/08/2025
- Last Update Date: 01/09/2025
Medical Identifiers
Medical identifiers for Madison Elizabeth Fentress such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366252751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | TC008 (Kentucky) | 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. Madison Elizabeth Fentress 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 |
Madison Elizabeth Fentress, PA-C 12767 North St, Dillsboro, IN 47018-8004 Ph: (812) 584-6833 | Madison Elizabeth Fentress, PA-C 3457 Valley Plaza Pkwy, Ft Mitchell, KY 41017-8176 Ph: (859) 344-2760 |
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