Mrs Lacie Tara Madison, CRNP - Medicare Emergency Medicine in Pensacola, FL

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Mrs Lacie Tara Madison, CRNP is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" in Pensacola, Florida. Her current practice location is 5151 N 9th Ave, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 416-7000.

Mrs Lacie Tara Madison is licensed to practice in Florida (license number 9463502) 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 1588808687.

Contact Information

Mrs Lacie Tara Madison, CRNP
5151 N 9th Ave,
Pensacola, FL 32504-8721
(850) 416-7000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lacie Tara Madison
GenderFemale
SpecialityEmergency Medicine - Pediatric Emergency Medicine
Location5151 N 9th Ave, Pensacola, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588808687
  • Provider Enumeration Date: 04/21/2009
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618242165
  • Enrollment ID: I20171009002707

Medical Identifiers

Medical identifiers for Mrs Lacie Tara Madison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588808687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9463502 (Florida)Secondary
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 9463502 (Florida)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. Mrs Lacie Tara Madison allows following entities to bill medicare on her behalf.
Entity NamePanhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215948096
PECOS PAC ID: 6608854765
Enrollment ID: O20040713001524
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295442614
PECOS PAC ID: 6608056171
Enrollment ID: O20230131002198

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. Mrs Lacie Tara Madison 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 AddressPractice Location Address
Mrs Lacie Tara Madison, CRNP
26487 Us Highway 98,
Elberta, AL 36530-2709

Ph: (251) 752-7206		Mrs Lacie Tara Madison, CRNP
5151 N 9th Ave,
Pensacola, FL 32504-8721

Ph: (850) 416-7000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.