Mckenna Glyn Madche, FNP in Ava, MO - Medicare Nurse Practitioner

Mckenna Glyn Madche, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Ava, Missouri. Her current practice location is 504 W Broadway Ave, Ava, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 683-5739.

Mckenna Glyn Madche is licensed to practice in Missouri (license number 2025006229) 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 1093513087.

Contact Information

	Mckenna Glyn Madche, FNP
	504 W Broadway Ave, Ava, MO 65608
	(417) 683-5739
	Not Available

Map and Direction

Provider's Profile

Full Name	Mckenna Glyn Madche
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	504 W Broadway Ave, Ava, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093513087
Provider Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 7517484249
Enrollment ID: I20250507000234

Medical Identifiers

Medical identifiers for Mckenna Glyn Madche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093513087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	2025006229 (Missouri)	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. Mckenna Glyn Madche allows following entities to bill medicare on her behalf.

Entity Name	Douglas County Public Health Services Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912904004 PECOS PAC ID: 3072423052 Enrollment ID: O20050301000128

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. Mckenna Glyn Madche 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
Mckenna Glyn Madche, FNP 504 S Sarah Ave, Republic, MO 65738-2693 Ph: (573) 953-9939	Mckenna Glyn Madche, FNP 504 W Broadway Ave, Ava, MO 65608 Ph: (417) 683-5739

Reviews and Comments

Nurse Practitioner Nurses in Ava, MO

Allison M Felton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1312 N Highway 5, Ava, MO 65608 Phone: 417-683-4045 Fax: 417-683-6069
Kathy L Domiano, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Nw 10th Ave, Ava, MO 65608 Phone: 417-683-4831 Fax: 417-683-1602
Sara Kentner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 W Lincoln Ave, Ava, MO 65608 Phone: 417-683-6790 Fax: 417-683-6770
Ms. Peggy S Cargin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Sw 2nd Ave, Ava, MO 65608 Phone: 417-683-6790 Fax: 417-683-6770
Jerriann Coxson, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 504 Nw 10th Ave, Ava, MO 65608 Phone: 417-683-4831 Fax: 417-683-1602
Vanessa Kay Loftis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1613 S Jefferson St Unit A, Ava, MO 65608 Phone: 417-543-4631

Mckenna Glyn Madche, FNP - Medicare Nurse Practitioner in Ava, MO