Ledesha Marie Dorothy Maduro, DDS in Richmond, MI

Ledesha Marie Dorothy Maduro, DDS is a medicare enrolled "Dentist" provider in Richmond, Michigan. Her current practice location is 67184 Gratiot Ave, Richmond, Michigan. You can reach out to her office (for appointments etc.) via phone at (954) 298-3603.

Ledesha Marie Dorothy Maduro is licensed to practice in Michigan (license number 2901602045) 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
	67184 Gratiot Ave, Richmond, MI 48062-1914
	(954) 298-3603
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ledesha Marie Dorothy Maduro
Gender	Female
Speciality	Dentist
Location	67184 Gratiot Ave, Richmond, Michigan
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: 05/20/2024

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)	Secondary
122300000X	Dentist	2901602045 (Michigan)	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 67184 Gratiot Ave, Richmond, MI 48062-1914 Ph: (586) 727-5898	Ledesha Marie Dorothy Maduro, DDS 67184 Gratiot Ave, Richmond, MI 48062-1914 Ph: (954) 298-3603

Reviews and Comments

Dentist in Richmond, MI

Zena Alsaraf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 67184 Gratiot Ave, Richmond, MI 48062 Phone: 586-727-5898
Dr. Tess Marie Finley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 67640 S Main St, Richmond, MI 48062 Phone: 586-727-7531
Dr. Brian J. Pradko, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 36600 Heritage Dr., Richmond, MI 48062 Phone: 586-727-3815 Fax: 586-727-3950
Dr. Irum Waheed, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 69089 N Main St, Richmond, MI 48062 Phone: 586-727-5898 Fax: 586-727-8429
Fadi Abshara, DDS Dentist Medicare: Medicare Enrolled Practice Location: 69089 N Main St, Richmond, MI 48062 Phone: 586-727-5898
Dr. Robert K. Wesley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 36590 Heritage Dr, Richmond, MI 48062 Phone: 586-727-3838 Fax: 586-727-3833
Dr. Yoomin Ahn Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36602 Heritage Dr, Richmond, MI 48062 Phone: 586-727-5500

Ledesha Marie Dorothy Maduro, DDS - Medicare Dentist in Richmond, MI