Heather J Maddox, RN, CRNA in Fontana, CA - Medicare Nurse Anesthetist, Certified Registered

Heather J Maddox, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fontana, California. Her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-5000.

Heather J Maddox is licensed to practice in California (license number 95000980) 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 1063981512.

Contact Information

	Heather J Maddox, RN, CRNA
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather J Maddox
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063981512
Provider Enumeration Date: 11/14/2018
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8325372535
Enrollment ID: I20190621001680

Medical Identifiers

Medical identifiers for Heather J Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063981512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000980 (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. Heather J Maddox allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Heather J 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
Heather J Maddox, RN, CRNA 34 Wheatberry, Irvine, CA 92618-2249 Ph: (707) 972-2418	Heather J Maddox, RN, CRNA 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fontana, CA

Kadette Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Kenneth B Lake, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Ronald D Stephens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Alyssa Miller, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 000-000-0000
Brendan Williams, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 15218 Summit Ave Ste 300-130, Fontana, CA 92336 Phone: 909-255-2661
Hisham Maassarani, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-302-4886
Edith M Marca-solomon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Heather J Maddox, RN, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fontana, CA