Contract Details
Facility name
Madison Medical Associates
Provider ID
P000000001
NPI
1538540729
Tax ID
472998615
Effective Date
4/16/2021
Last Updated
4/22/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3809 Sullivan Street Suite 4
Madison, AL 35758
United States
Phone
256-325-1160 (Phone)
Billing Details
Address
3809 Sullivan Street
Suite 4
Madison, AL 35758
Billing Phone
256-325-1160
Specialty Type
Pain Management Facility
Website
Visit Website
Workers Comp Coordinator
Sarah
Marsh
256-325-1160
smarsh@madisonmedicalassociates.com
Map
Address