Carly Rose Madeen, PA-C is a medicare enrolled "Physician Assistant" in Starkville, Mississippi. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Magnolia Dermatology, Pllc and her current practice location is
106 Strange Rd, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 910-3004.
Carly Rose Madeen is licensed to practice in Mississippi (license number PA00771) 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 1114780491.
Provider's Profile
| Full Name | Carly Rose Madeen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 106 Strange Rd, Starkville, Mississippi |
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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:
- Carly Rose Madeen graduated from nursing school in 2023
NPI Data:
- NPI Number: 1114780491
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789029323
- Enrollment ID: I20240305002124
Medical Identifiers
Medical identifiers for Carly Rose Madeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114780491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA00771 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Magnolia Dermatology, Pllc | 0749576031 | 12 |
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. Carly Rose Madeen 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 |
Carly Rose Madeen, PA-C 815 Highway 80 E, Clinton, MS 39056-5252 Ph: (601) 910-3004 | Carly Rose Madeen, PA-C 106 Strange Rd, Starkville, MS 39759-2540 Ph: (601) 910-3004 |
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