Madison Nicole Stave, is a medicare enrolled "Advanced Practice Midwife" in Fort Smith, Arkansas. Her current practice location is
1500 Dodson Ave Ste 230, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 709-7490.
Madison Nicole Stave is licensed to practice in * (Not Available) (license number ) 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 1164110953.
Provider's Profile
| Full Name | Madison Nicole Stave |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1500 Dodson Ave Ste 230, Fort Smith, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164110953
- Provider Enumeration Date: 04/28/2023
- Last Update Date: 04/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971961343
- Enrollment ID: I20230615003250
Medical Identifiers
Medical identifiers for Madison Nicole Stave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164110953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
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 Nicole Stave allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922587690
PECOS PAC ID: 0648514133
Enrollment ID: O20181211001401 |
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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 Nicole Stave 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 Nicole Stave,
11001 Executive Center Dr Ste 200,
Little Rock, AR 72211-4393
Ph: (479) 709-7490 | Madison Nicole Stave,
1500 Dodson Ave Ste 230,
Fort Smith, AR 72901-5179
Ph: (479) 709-7490 |
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