Dr Jessica Maddox, MD is a medicare enrolled "Pediatrics" physician in Driggs, Idaho. Her current practice location is
30 N 1st St, Driggs, Idaho. You can reach out to her office (for appointments etc.) via phone at
(204) 435-8846.
Dr Jessica Maddox is licensed to practice in Idaho (license number M-14388) 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 1801281175.
Physician's Profile
| Full Name | Dr Jessica Maddox |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 30 N 1st St, Driggs, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801281175
- Provider Enumeration Date: 04/02/2015
- Last Update Date: 03/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 3870866239
- Enrollment ID: I20211209000993
Medical Identifiers
Medical identifiers for Dr Jessica Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801281175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | M-14388 (Idaho) | 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 Jessica Maddox allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic-treasure Valley Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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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 Jessica Maddox 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 |
|---|
Dr Jessica Maddox, MD
Po Box 760,
Driggs, ID 83422-0760
Ph: (208) 435-8846 | Dr Jessica Maddox, MD
30 N 1st St,
Driggs, ID 83422-5219
Ph: (204) 435-8846 |
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