Samuel Madden, is a
Student In An Organized Health Care Education/training Program based in Travis Afb, California. Samuel Madden is licensed to practice in * (Not Available) (license number ) and his current practice location is
101 Bodin Cir Bldg 777, Travis Afb, California. He can be reached at his office (for appointments etc.) via phone at
(612) 619-5261.
NPI number for Samuel Madden is 1164220075 and his current mailing address is 3501 Harbison Dr Unit 1903, Vacaville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164220075.
Healthcare Provider's Profile
| Full Name | Samuel Madden |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 101 Bodin Cir Bldg 777, Travis Afb, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164220075
- Provider Enumeration Date: 03/05/2025
- Last Update Date: 07/26/2025
Medical Identifiers
Medical identifiers for Samuel Madden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164220075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D15349 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Samuel Madden 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 |
|---|
Samuel Madden,
3501 Harbison Dr Unit 1903,
Vacaville, CA 95687-3938
Ph: () - | Samuel Madden,
101 Bodin Cir Bldg 777,
Travis Afb, CA 94535-1809
Ph: (612) 619-5261 |
Reviews and Comments