Individual ProviderMckensy MadsenGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098(619) 532-7575PECOS EnrollmentBased on the most recent information from CMS, provider Mckensy Madsen 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 3 days ago.Profile DetailsProvider ID1710688296Provider TypeIndividualFull NameMadsen, MckensyCredentialDOGenderFemaleSole ProprietorYesEnumeration Date3/13/2023Last Updated8/9/2025Contact InformationPractice LocationPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098Phone(619) 532-7575FaxUnlisted FaxMailing LocationMailing Address2496 Bauer Rd, San Diego, CA 92126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0102208864VirginiaCode171000000XDescriptionMilitary Health Care ProviderOther Service ProvidersLicenseUnlisted Issuer