Madison Faddis, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Overland Park, Kansas. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Epiphany Dermatology Of Kansas Llc and her current practice location is
8505 College Blvd, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 541-3230.
Madison Faddis is licensed to practice in Kansas (license number 53-83293-121) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073397907.
Physician's Profile
| Full Name | Madison Faddis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 8505 College Blvd, Overland Park, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Madison Faddis attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2024
NPI Data:
- NPI Number: 1073397907
- Provider Enumeration Date: 08/22/2023
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527502806
- Enrollment ID: I20240627001395
Medical Identifiers
Medical identifiers for Madison Faddis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073397907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 53-83293-121 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-83293-121 (Kansas) | Primary |
| 163W00000X | Registered Nurse | 14-145718-121 (Kansas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Epiphany Dermatology Of Kansas Llc | 4082046412 | 7 |
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. Madison Faddis allows following entities to bill medicare on her behalf.
| Entity Name | Epiphany Dermatology Of Kansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710444500 PECOS PAC ID: 4082046412 Enrollment ID: O20191122001694 |
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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. Madison Faddis 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 |
Madison Faddis, DNP, FNP-C 8505 College Blvd, Overland Park, KS 66210-1836 Ph: () - | Madison Faddis, DNP, FNP-C 8505 College Blvd, Overland Park, KS 66210-1836 Ph: (913) 541-3230 |
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