Angelique Madison, FNP is a medicare enrolled "Nurse Practitioner - Family" in Watervliet, Michigan. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeland Community Hospital Watervliet and her current practice location is
400 Medical Park Dr, Watervliet, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 463-3600.
Angelique Madison is licensed to practice in Michigan (license number 4704253993) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417358995.
Provider's Profile
| Full Name | Angelique Madison |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 400 Medical Park Dr, Watervliet, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angelique Madison graduated from nursing school in 2014
NPI Data:
- NPI Number: 1417358995
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 11/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 9436474244
- Enrollment ID: I20150218001341
Medical Identifiers
Medical identifiers for Angelique Madison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417358995 | NPI | - | NPPES |
| 1417358995 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704253993 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeland Community Hospital Watervliet | 7416942750 | 46 |
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. Angelique Madison allows following entities to bill medicare on her behalf.
| Entity Name | Lakeland Community Hospital Watervliet |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023114741
PECOS PAC ID: 7416942750
Enrollment ID: O20040416000984 |
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| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134220031
PECOS PAC ID: 7517929037
Enrollment ID: O20041027001172 |
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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. Angelique Madison 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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Angelique Madison, FNP
6701 Paw Paw Ave,
Coloma, MI 49038-9519
Ph: (269) 463-3000 | Angelique Madison, FNP
400 Medical Park Dr,
Watervliet, MI 49098-9225
Ph: (269) 463-3600 |
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