Ryker Maddox, is a
Licensed Practical Nurse based in Frewsburg, New York. Ryker Maddox is licensed to practice in New York (license number 326375) and his current practice location is
39 W Main St, Frewsburg, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 708-7908.
NPI number for Ryker Maddox is 1306385455 and his current mailing address is Po Box 258, 39 West Main Street, Frewsburg, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306385455.
Provider's Profile
| Full Name | Ryker Maddox |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 39 W Main St, Frewsburg, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306385455
- Provider Enumeration Date: 02/21/2017
- Last Update Date: 02/21/2017
Medical Identifiers
Medical identifiers for Ryker Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306385455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 326375 (New York) | 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. Ryker Maddox 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 |
|---|
Ryker Maddox,
Po Box 258, 39 West Main Street,
Frewsburg, NY 14738-0258
Ph: (716) 708-7908 | Ryker Maddox,
39 W Main St,
Frewsburg, NY 14738-9628
Ph: (716) 708-7908 |
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