Madison Elizabeth Fentress, PA-C is a medicare enrolled "Physician Assistant" in Ft Mitchell, Kentucky. Her current practice location is
3457 Valley Plaza Pkwy, Ft Mitchell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 344-2760.
Madison Elizabeth Fentress is licensed to practice in Kentucky (license number TC008) 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 1366252751.
Provider's Profile
Full Name | Madison Elizabeth Fentress |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3457 Valley Plaza Pkwy, Ft Mitchell, Kentucky |
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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: 1366252751
- Provider Enumeration Date: 01/08/2025
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335678143
- Enrollment ID: I20250123002385
Medical Identifiers
Medical identifiers for Madison Elizabeth Fentress such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366252751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | TC008 (Kentucky) | 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. Madison Elizabeth Fentress 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 |
Madison Elizabeth Fentress, PA-C 12767 North St, Dillsboro, IN 47018-8004 Ph: (812) 584-6833 | Madison Elizabeth Fentress, PA-C 3457 Valley Plaza Pkwy, Ft Mitchell, KY 41017-8176 Ph: (859) 344-2760 |
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