Individual ProviderMadeline M JohnstonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19555 N 59th Ave, Glendale, AZ 85308-6813(623) 572-3215PECOS EnrollmentBased on the most recent information from CMS, provider Madeline M Johnston does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:10 PM.Profile DetailsProvider ID1316498603Provider TypeIndividualFull NameJohnston, Madeline MGenderFemaleSole ProprietorYesEnumeration Date10/20/2016Last Updated10/20/2016Contact InformationPractice LocationPractice Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 572-3215FaxUnlisted FaxMailing LocationMailing Address19555 N 59th Ave, Glendale, AZ 85308-6813PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseI011651Arizona