Madison Peckham, CRNA in Wichita, KS - Medicare Nurse Anesthetist, Certified Registered

Madison Peckham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wichita, Kansas. Her current practice location is 929 N Saint Francis Ave, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 268-5000.

Madison Peckham is licensed to practice in Kansas (license number 558144) 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 1740971118.

Contact Information

	Madison Peckham, CRNA
	929 N Saint Francis Ave, Wichita, KS 67214-3821
	(316) 268-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Madison Peckham
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	929 N Saint Francis Ave, Wichita, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740971118
Provider Enumeration Date: 05/17/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2365896610
Enrollment ID: I20230920004072

Medical Identifiers

Medical identifiers for Madison Peckham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740971118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	144492 (Kansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	558144 (Kansas)	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 Peckham allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Consulting Services, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518070416 PECOS PAC ID: 7214849710 Enrollment ID: O20031113000271

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 Peckham 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 Peckham, CRNA Po Box 2897, Wichita, KS 67201-2897 Ph: (844) 468-9498	Madison Peckham, CRNA 929 N Saint Francis Ave, Wichita, KS 67214-3821 Ph: (316) 268-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wichita, KS

Jaysa L Nichols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Suite 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-858-1556
George Findley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-461-4497 Fax: 316-686-1557
Jill C Gallagher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8330 E Overbrook St, Wichita, KS 67206 Phone: 316-644-1193
Janet L Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3450 N Rock Rd Ste 208, Wichita, KS 67226 Phone: 316-685-6091
Seth Claassen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557
Wade Frederick Winter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 Fax: 316-291-4272
Mr. Brian Lee Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6615 Briarwood Cir, Wichita, KS 67212 Phone: 316-729-4474 Fax: 316-729-4474

Madison Peckham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Wichita, KS