MADELEINE M FONTANA PA-C - NPI 1922732593 - Physician Assistant in Atlanta, GA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Madeleine M Fontana Pa-c NPPES

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

MADELEINE M FONTANA PA-C (NPI 1922732593) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (11065) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922732593

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMADELEINE M FONTANACredential: PA-C

Location Address1800 HOWELL MILL RD NW STE 175Atlanta, GA 30318-0924

Mailing Address1800 Howell Mill Rd Nw Ste 175Atlanta, GA 30318-0924 · (404) 607-1777 · Fax (404) 607-1799

Phone(404) 607-1777

Fax(404) 607-1799

Sole ProprietorNo

Enumeration DateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1922732593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 11065

1800 HOWELL MILL RD NW STE 175, Atlanta, GA 30318

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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 M Fontana Pa-c 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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