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Madison Taylor Mcinnis

Student in an Organized Health Care Education/Training Program

Student, Health Care

501 E Hampden Ave, Englewood, CO 80113-2702

PECOS Enrollment

This provider is enrolled in PECOS as MADISON MCINNIS.

Based on the most recent information from CMS, provider Madison Taylor Mcinnis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:26 AM.

Profile Details

Provider ID
1558063115
Provider Type
Individual
Full Name
Mcinnis, Madison Taylor
Title
Dr.
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
3/20/2023
Last Updated
3/20/2023

Contact Information

Practice Location

501 E Hampden Ave, Englewood, CO 80113-2702

(303) 788-5084

Unlisted Fax

Mailing Location

501 E Hampden Ave, Englewood, CO 80113-2702

(303) 788-5084

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Madison Taylor Mcinnis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Keoseyan, Petros Peter

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Backen, Timbre

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