Madison Mahon, is a
Nurse Practitioner - Family based in Homedale, Idaho. Madison Mahon is licensed to practice in Idaho (license number F01260998) and her current practice location is
118 S 1st St W, Homedale, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 987-1159.
NPI number for Madison Mahon is 1740130103 and her current mailing address is 118 S 1st St W, Homedale, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740130103.
Provider's Profile
| Full Name | Madison Mahon |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 118 S 1st St W, Homedale, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740130103
- Provider Enumeration Date: 02/03/2026
- Last Update Date: 10/09/2026
Medical Identifiers
Medical identifiers for Madison Mahon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740130103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | F01260998 (Idaho) | 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 Mahon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Madison Mahon,
118 S 1st St W,
Homedale, ID 83628
Ph: (208) 987-1159 | Madison Mahon,
118 S 1st St W,
Homedale, ID 83628
Ph: (208) 987-1159 |
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