Dr Derald L Madson, MD - Medicare Surgery in Zanesville, OH

Dr Derald L Madson, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Zanesville, Ohio. His current practice location is 3964 Frazeysburg Rd, Zanesville, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 455-4944.

Dr Derald L Madson is licensed to practice in Ohio (license number 35059388) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598769077.

Contact Information

Dr Derald L Madson, MD
3964 Frazeysburg Rd,
Zanesville, OH 43701-8924
(740) 455-4944
(740) 450-6199

Map and Direction




Physician's Profile

Full NameDr Derald L Madson
GenderMale
SpecialitySurgery - Vascular Surgery
Location3964 Frazeysburg Rd, Zanesville, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598769077
  • Provider Enumeration Date: 06/13/2005
  • Last Update Date: 04/02/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5799719167
  • Enrollment ID: I20180711003960

Medical Identifiers

Medical identifiers for Dr Derald L Madson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598769077NPI-NPPES
311661239026OtherOHCARESOURCE
000000122822OtherOHANTHEM
2131955MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 35059388 (Ohio)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. Dr Derald L Madson allows following entities to bill medicare on his behalf.
Entity NameSumner Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720572209
PECOS PAC ID: 8820283260
Enrollment ID: O20101112000475

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. Dr Derald L Madson 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 AddressPractice Location Address
Dr Derald L Madson, MD
3964 Frazeysburg Rd,
Zanesville, OH 43701-8924

Ph: (740) 455-4944
Dr Derald L Madson, MD
3964 Frazeysburg Rd,
Zanesville, OH 43701-8924

Ph: (740) 455-4944

Reviews and Comments


Surgery Doctors in Zanesville, OH

Gretchen Layne Weber, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2916 Vangader Drive, Zanesville, OH 43701
Phone: 740-453-0661    Fax: 740-453-4940
Jessica Beatrice Campbell,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1246 Ashland Ave, Suite 101, Zanesville, OH 43701
Phone: 740-453-0730    
Claudia Jin Kim, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2916 Vangader Dr, Genesis Surgical Associates, Zanesville, OH 43701
Phone: 740-453-0661    Fax: 740-453-4940
Charles Norris Fennie, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2916 Vangader Dr, Zanesville, OH 43701
Phone: 740-453-0661    
David M Barbara, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2916 Vangader Dr, Zanesville, OH 43701
Phone: 740-455-3311    Fax: 740-455-2246
Dr. Shannon M Hanley, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Maple Ave, Suite A, Zanesville, OH 43701
Phone: 740-454-5221    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.