Victoria Michelle Madray, MD is a medicare enrolled "Dermatology" physician in St Simons Island, Georgia. Her current practice location is
7000 Wellness Way Ste 7120, St Simons Island, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 634-4966.
Victoria Michelle Madray is licensed to practice in Georgia (license number 12870) 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 1649847070.
Physician's Profile
Full Name | Victoria Michelle Madray |
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Gender | Female |
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Speciality | Dermatology |
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Location | 7000 Wellness Way Ste 7120, St Simons Island, Georgia |
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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: 1649847070
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850792649
- Enrollment ID: I20250509000289
Medical Identifiers
Medical identifiers for Victoria Michelle Madray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649847070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 12870 (Georgia) | Secondary |
207N00000X | Dermatology | 12870 (Georgia) | 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. Victoria Michelle Madray 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 |
Victoria Michelle Madray, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Victoria Michelle Madray, MD 7000 Wellness Way Ste 7120, St Simons Island, GA 31522-2286 Ph: (912) 634-4966 |
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