Dr Jan Paul Maddox, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Riverside, California. Dr Jan Paul Maddox is licensed to practice in California (license number A26683) and his current practice location is 4500 Brockton Ave, Ste 305, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 715-3963.
NPI number for Dr Jan Paul Maddox is 1699770974 and his current mailing address is Po Box 1509, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699770974.
Physician's Profile
| Full Name | Dr Jan Paul Maddox |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 4500 Brockton Ave, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699770974
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 11/19/2007
Medical Identifiers
Medical identifiers for Dr Jan Paul Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699770974 | NPI | - | NPPES |
| 00A320460 | Other | CA | MEDI-CAL |
| ZZZ05981Z | Other | CA | BLUE SHIELD ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A26683 (California) | 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. Dr Jan Paul Maddox 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 |
|---|
Dr Jan Paul Maddox, MD
Po Box 1509,
Riverside, CA 92502-1509
Ph: (951) 715-3963 | Dr Jan Paul Maddox, MD
4500 Brockton Ave, Ste 305,
Riverside, CA 92501-4028
Ph: (951) 715-3963 |
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