Madison Jean Ewing, PT, DPT is a medicare enrolled "Physical Therapist" provider in Peridot, Arizona. Her current practice location is
103 Medicine Way Rd, Peridot, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 475-1400.
Madison Jean Ewing is licensed to practice in New York (license number 049272) 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 1710607445.
Healthcare Provider's Profile
| Full Name | Madison Jean Ewing |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 103 Medicine Way Rd, Peridot, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710607445
- Provider Enumeration Date: 09/01/2022
- Last Update Date: 09/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143696823
- Enrollment ID: I20221020002483
Medical Identifiers
Medical identifiers for Madison Jean Ewing such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710607445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 049272 (New York) | 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 Jean Ewing allows following entities to bill medicare on her behalf.
| Provider Name | San Carlos Apache Healthcare Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091 |
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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 Jean Ewing 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 |
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Madison Jean Ewing, PT, DPT
1831 Hoagland Rd,
Mount Morris, NY 14510-9424
Ph: () - | Madison Jean Ewing, PT, DPT
103 Medicine Way Rd,
Peridot, AZ 85542-5000
Ph: (928) 475-1400 |
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