Mr Angello Madison, LPC is a medicare enrolled "Community/behavioral Health" provider in Suffolk, Virginia. He graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
114 N Main St Ste 102a, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 921-2762.
Mr Angello Madison is licensed to practice in Virginia (license number 07010007132) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760638043.
Healthcare Provider's Profile
| Full Name | Mr Angello Madison |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 20 Years |
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| Location | 114 N Main St Ste 102a, Suffolk, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Angello Madison graduated from medical school in 2006
NPI Data:
- NPI Number: 1760638043
- Provider Enumeration Date: 08/18/2008
- Last Update Date: 07/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911344924
- Enrollment ID: I20240326004306
Medical Identifiers
Medical identifiers for Mr Angello Madison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760638043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | 07010007132 (Virginia) | 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. Mr Angello Madison allows following entities to bill medicare on his behalf.
| Entity Name | Madison Enterprises Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558881128 PECOS PAC ID: 0749627750 Enrollment ID: O20240326004268 |
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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. Mr Angello 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 |
Mr Angello Madison, LPC 114 N Main St Ste 102a, Suffolk, VA 23434-4564 Ph: (757) 921-2762 | Mr Angello Madison, LPC 114 N Main St Ste 102a, Suffolk, VA 23434-4564 Ph: (757) 921-2762 |
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