Dana Marie Madden, is a medicare enrolled "Physician Assistant" physician in Kenosha, Wisconsin. Her current practice location is
10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 948-5600.
Dana Marie Madden is licensed to practice in Wisconsin (license number 8159-23) 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 1073338596.
Physician's Profile
Full Name | Dana Marie Madden |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 10400 75th St, Kenosha, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073338596
- Provider Enumeration Date: 11/19/2024
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850820952
- Enrollment ID: I20250117001500
Medical Identifiers
Medical identifiers for Dana Marie Madden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073338596 | NPI | - | NPPES |
100304294 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 8159-23 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 8159-23 (Wisconsin) | 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. Dana Marie Madden 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 |
Dana Marie Madden, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dana Marie Madden, 10400 75th St, Kenosha, WI 53142-8323 Ph: (262) 948-5600 |
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