Erica Lee Madara, NP - Medicare Nurse Practitioner in Amherst, MA

Erica Lee Madara, NP is a medicare enrolled "Nurse Practitioner - Family" in Amherst, Massachusetts. Her current practice location is 31 Hall Dr, Amherst, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 256-8561.

Erica Lee Madara is licensed to practice in Massachusetts (license number RN2301213) 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 1184285165.

Contact Information

Erica Lee Madara, NP
31 Hall Dr,
Amherst, MA 01002-2751
(413) 256-8561
Not Available

Map and Direction




Provider's Profile

Full NameErica Lee Madara
GenderFemale
SpecialityNurse Practitioner - Family
Location31 Hall Dr, Amherst, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184285165
  • Provider Enumeration Date: 06/21/2019
  • Last Update Date: 01/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769712645
  • Enrollment ID: I20190918002974

Medical Identifiers

Medical identifiers for Erica Lee Madara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184285165NPI-NPPES
110157382AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN2301213 (Massachusetts)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. Erica Lee Madara allows following entities to bill medicare on her behalf.
Entity NameValley Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912924705
PECOS PAC ID: 2365348851
Enrollment ID: O20031208000239

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. Erica Lee Madara 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 AddressPractice Location Address
Erica Lee Madara, NP
220 Lathrop St,
South Hadley, MA 01075-3309

Ph: () -
Erica Lee Madara, NP
31 Hall Dr,
Amherst, MA 01002-2751

Ph: (413) 256-8561

Reviews and Comments


Nurse Practitioner Nurses in Amherst, MA

Mrs. Eileen B Hirsch, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 111 County Cir, Amherst, MA 01003
Phone: 413-545-2020    
Jocelyn O Johnson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 96 N Pleasant St, Suite 302b, Amherst, MA 01002
Phone: 413-253-2553    Fax: 413-253-2544
Dr. April Corrine Tremblay-davis, DNP, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 Hall Dr Ste 1, Amherst, MA 01002
Phone: 413-256-8561    Fax: 866-644-0869
Karen Ann Kalmakis, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 Infirmary Way, University Health Services, Amherst, MA 01003
Phone: 413-577-5000    Fax: 413-577-5117
Patricia Elizabeth Keough, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 Hall Dr, Amherst Medical Center, Amherst, MA 01002
Phone: 413-256-8561    Fax: 413-256-4421
Lynn Hurst, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 170 University Dr, Amherst, MA 01002
Phone: 413-549-7080    
Constance Bissell Schwaiger, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 Infirmary Way, University Health Services, Amherst, MA 01003
Phone: 413-577-5000    Fax: 413-577-5117

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.