John Madu, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Middletown, Connecticut. His current practice location is
682 Main St, Middletown, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 894-7683.
John Madu is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619759313.
Healthcare Provider's Profile
Full Name | John Madu |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 682 Main St, Middletown, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619759313
- Provider Enumeration Date: 10/17/2023
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971049487
- Enrollment ID: I20240720000340
Medical Identifiers
Medical identifiers for John Madu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619759313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | PCT.0014532 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. John Madu 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 |
John Madu, 3500 Gaston Ave, Dallas, TX 75246-2088 Ph: (214) 820-3795 | John Madu, 682 Main St, Middletown, CT 06457 Ph: (860) 894-7683 |
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