Amber Lee Maddox, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Jones, California. Her current practice location is
9024 Sniktaw Ln, Fort Jones, California. You can reach out to her office (for appointments etc.) via phone at
(530) 468-4470.
Amber Lee Maddox is licensed to practice in California (license number 95027927) 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 1851168579.
Provider's Profile
Full Name | Amber Lee Maddox |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9024 Sniktaw Ln, Fort Jones, California |
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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: 1851168579
- Provider Enumeration Date: 12/04/2023
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143740332
- Enrollment ID: I20250218002556
Medical Identifiers
Medical identifiers for Amber Lee Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851168579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95027927 (California) | 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. Amber Lee Maddox allows following entities to bill medicare on her behalf.
Entity Name | Quartz Valley Indian Reservation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306062419 PECOS PAC ID: 8325147457 Enrollment ID: O20080131000298 |
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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. Amber Lee 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 |
Amber Lee Maddox, FNP-C 9024 Sniktaw Ln, Fort Jones, CA 96032-9408 Ph: (530) 468-4470 | Amber Lee Maddox, FNP-C 9024 Sniktaw Ln, Fort Jones, CA 96032-9408 Ph: (530) 468-4470 |
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