Dr Brandon Robert Maddox, DMD - Medicare Dentist in Springfield, IL

Dr Brandon Robert Maddox, DMD is a medicare enrolled "Dentist" provider in Springfield, Illinois. His current practice location is 1100 Rickard Rd, Suite B, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 546-4738.

Dr Brandon Robert Maddox is licensed to practice in Illinois (license number 019025561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134268071.

Contact Information

Dr Brandon Robert Maddox, DMD
1100 Rickard Rd, Suite B,
Springfield, IL 62704-6301
(217) 546-4738
Not Available



Healthcare Provider's Profile

Full NameDr Brandon Robert Maddox
GenderMale
SpecialityDentist
Location1100 Rickard Rd, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134268071
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 09/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022337641
  • Enrollment ID: I20150504001318

Medical Identifiers

Medical identifiers for Dr Brandon Robert Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134268071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019025561 (Illinois)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. Dr Brandon Robert 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 AddressPractice Location Address
Dr Brandon Robert Maddox, DMD
1100 Rickard Rd, Suite B,
Springfield, IL 62704-6301

Ph: (217) 546-4738
Dr Brandon Robert Maddox, DMD
1100 Rickard Rd, Suite B,
Springfield, IL 62704-6301

Ph: (217) 546-4738

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Dentist in Springfield, IL

Dr. Tulin Perihan Ozyurt, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 2239 E Cook St, Springfield, IL 62703
Phone: 217-788-2300    Fax: 217-788-2342
Dr. Matt Gordon Vandermolen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4701 Wabash Ave, Springfield, IL 62711
Phone: 217-546-3333    
Soo Hyun Kim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 802 N 9th St, Springfield, IL 62702
Phone: 888-988-4066    Fax: 847-496-7603
Muzammil Saeed, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2239 E Cook St, Springfield, IL 62703
Phone: 217-788-2300    
John Edward Williams, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 231 N Bruns Ln Bldg C, Springfield, IL 62702
Phone: 217-546-9097    
Ankush Katkade,
Dentist
Medicare: Medicare Enrolled
Practice Location: 2239 E Cook St, Springfield, IL 62703
Phone: 217-788-2300    
Kraig D. Osborne, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 2501 W Iles Ave, Suite B, Springfield, IL 62704
Phone: 217-546-0351    Fax: 217-546-0352

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