Ledesha Marie Dorothy Maduro, DDS in Lake Wales, FL

Ledesha Marie Dorothy Maduro, DDS is a medicare enrolled "Dentist" provider in Lake Wales, Florida. Her current practice location is 24185 Us Hwy 27 North, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 676-6200.

Ledesha Marie Dorothy Maduro is licensed to practice in Florida (license number DN22776) 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 1174982458.

Contact Information

	Ledesha Marie Dorothy Maduro, DDS
	24185 Us Hwy 27 North, Lake Wales, FL 33853
	(863) 676-6200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ledesha Marie Dorothy Maduro
Gender	Female
Speciality	Dentist
Location	24185 Us Hwy 27 North, Lake Wales, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174982458
Provider Enumeration Date: 02/16/2016
Last Update Date: 07/01/2017

Medicare PECOS Information:

PECOS PAC ID: 5395018022
Enrollment ID: I20231116003611

Medical Identifiers

Medical identifiers for Ledesha Marie Dorothy Maduro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174982458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN22776 (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. Ledesha Marie Dorothy Maduro allows following entities to bill medicare on her behalf.

Entity Name	Genesis Community Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447578125 PECOS PAC ID: 7012033384 Enrollment ID: O20110112000690

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. Ledesha Marie Dorothy Maduro 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
Ledesha Marie Dorothy Maduro, DDS 24185 Us Highway 27 North, Lake Wales, FL 33853 Ph: (863) 676-6200	Ledesha Marie Dorothy Maduro, DDS 24185 Us Hwy 27 North, Lake Wales, FL 33853 Ph: (863) 676-6200

Reviews and Comments

Dentist in Lake Wales, FL

Jonathon Rivera, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 State Road 60 E, Lake Wales, FL 33853 Phone: 863-676-6021
Dr. Jonathan Bradford King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24185 Us Highway 27, Lake Wales, FL 33859 Phone: 863-676-6200
Maryam Bangash, Dentist Medicare: Medicare Enrolled Practice Location: 24185 Us Highway 27, Lake Wales, FL 33859 Phone: 863-455-7444
Arianna Rodriguez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 24185 Us Highway 27, Lake Wales, FL 33859 Phone: 863-676-6200
Dr. Samuel Thomas Pero Iv, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 State Road 60 E, Lake Wales, FL 33853 Phone: 863-676-6021
Dr. Jackson Steven Reddick, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 440 S Buckmoore Rd, Lake Wales, FL 33853 Phone: 863-676-6507

Ledesha Marie Dorothy Maduro, DDS - Medicare Dentist in Lake Wales, FL