Madison Shanks Bundrum, in Oxford, AL - Medicare Nurse Practitioner

Madison Shanks Bundrum, is a medicare enrolled "Nurse Practitioner - Family" in Oxford, Alabama. Her current practice location is 912 Snow St, Oxford, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 237-1001.

Madison Shanks Bundrum is licensed to practice in Alabama (license number 1-171297) 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 1154927218.

Contact Information

	Madison Shanks Bundrum,
	912 Snow St, Oxford, AL 36203-1214
	(256) 237-1001
	Not Available

Map and Direction

Provider's Profile

Full Name	Madison Shanks Bundrum
Gender	Female
Speciality	Nurse Practitioner - Family
Location	912 Snow St, Oxford, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154927218
Provider Enumeration Date: 12/04/2020
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3678935483
Enrollment ID: I20230823003739

Medical Identifiers

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

Identifier	Type	State	Issuer
1154927218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-171297 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-171297 (Alabama)	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 Shanks Bundrum allows following entities to bill medicare on her behalf.

Entity Name	Eloubeidi Gastroenterology And Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841939592 PECOS PAC ID: 9436531050 Enrollment ID: O20220729000067

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 Shanks Bundrum 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 Shanks Bundrum, 379 Barrington Cir, Alexandria, AL 36250-7216 Ph: (256) 282-0002	Madison Shanks Bundrum, 912 Snow St, Oxford, AL 36203-1214 Ph: (256) 237-1001

Reviews and Comments

Nurse Practitioner Nurses in Oxford, AL

Mrs. Paige Matheson Hughes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Ali Way, Oxford, AL 36203 Phone: 256-832-8802 Fax: 256-832-8877
Jessica Marie Gamberi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 Hale St, Oxford, AL 36203 Phone: 731-394-1145
Peri Kathryn Bryant, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Holmes Dr, Oxford, AL 36203 Phone: 256-448-3578
Jessica Glass, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Highway Dr, Oxford, AL 36203 Phone: 256-231-7500
Ms. Komfort Cofield, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Ali Way, Oxford, AL 36203 Phone: 256-832-8802
Andrea Lee Freng, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 Hale St, Oxford, AL 36203 Phone: 731-394-4114
Kanina Diane Crosen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Ali Way, Oxford, AL 36203 Phone: 256-832-8802 Fax: 256-832-8877

Madison Shanks Bundrum, - Medicare Nurse Practitioner in Oxford, AL