Mrs Raequel Allyssa Madara, PMHNP, LCSW is a
Nurse Practitioner - Psychiatric/mental Health based in Shillington, Pennsylvania. Mrs Raequel Allyssa Madara is licensed to practice in Pennsylvania (license number SP032464) and her current practice location is
527 E Lancaster Ave, Shillington, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(610) 796-8110.
NPI number for Mrs Raequel Allyssa Madara is 1427399377 and her current mailing address is 145 E Greenwood Ave, Lansdowne, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427399377.
Healthcare Provider's Profile
| Full Name | Mrs Raequel Allyssa Madara |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 527 E Lancaster Ave, Shillington, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427399377
- Provider Enumeration Date: 03/01/2013
- Last Update Date: 09/19/2025
Medical Identifiers
Medical identifiers for Mrs Raequel Allyssa Madara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427399377 | NPI | - | NPPES |
| 104516608-0001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | CW017538 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP032464 (Pennsylvania) | 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. Mrs Raequel Allyssa Madara 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 |
Mrs Raequel Allyssa Madara, PMHNP, LCSW 145 E Greenwood Ave, Lansdowne, PA 19050-1621 Ph: (610) 368-7737 | Mrs Raequel Allyssa Madara, PMHNP, LCSW 527 E Lancaster Ave, Shillington, PA 19607-1364 Ph: (610) 796-8110 |
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