MADELEINE GRACE EGAN
NPI 1487239687
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 10, 2021PECOS Enrolled

507 NORTH 17TH STREET, MILWAUKEE, WI 53233(414) 288-0607 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Madeleine Grace Egan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELEINE GRACE EGAN (NPI 1487239687) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487239687

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMADELEINE GRACE EGAN

Location Address507 NORTH 17TH STREETMilwaukee, WI 53233

Mailing Address507 North 17th StreetMilwaukee, WI 53233

Phone(414) 288-0607

Sole ProprietorYes

Enumeration DateMarch 10, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1487239687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

507 NORTH 17TH STREET, Milwaukee, WI 53233

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeleine Grace Egan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.