Madison Street Provider Network, Llc is a
Ophthalmology based in Englewood, Colorado. Madison Street Provider Network, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
125 Inverness Dr E Ste 200, Englewood, Colorado. It can be reached at their office (for appointments etc.) via phone at
(303) 733-2020.
NPI number for Madison Street Provider Network, Llc is 1154929602 and their current mailing address is Po Box 912914, Denver, Colorado. Madison Street Provider Network, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1154929602.
Healthcare Provider's Profile
| Full Name | Madison Street Provider Network, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 125 Inverness Dr E Ste 200, Englewood, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154929602
- Provider Enumeration Date: 10/15/2020
- Last Update Date: 10/15/2020
Medical Identifiers
Medical identifiers for Madison Street Provider Network, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154929602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | 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. Madison Street Provider Network, Llc 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 |
|---|
Madison Street Provider Network, Llc
Po Box 912914,
Denver, CO 80291-2914
Ph: () - | Madison Street Provider Network, Llc
125 Inverness Dr E Ste 200,
Englewood, CO 80112-5138
Ph: (303) 733-2020 |
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