Madilyn Fouse, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3549 Issued in TN

Practice address

6025 Stage Rd
Memphis, TN 38134-8374

Phone

(901) 373-4207

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Madilyn Roghair Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Denhartog OD LLCGroup PAC ID 9133419302, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer Denhartog OD LLC

  • Optometrist
  • Clive, IA
  • NPI 1649634478
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1538721782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 FOREST HILL IRENE RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381397801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348374",
            "telephone_number": "901-373-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSE",
        "first_name": "MADILYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADILYN",
            "last_name": "ROGHAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moneeka Foulks
• Bailey Bethell Fountain, PA-C
• Ashley Fournier-Goodnight, PHD, NCSP
• Jennifer Marie Fournier, MD
• Fourroux Prosthetics, Inc
• Michelle K Fowke, SLP
• Brian T Fowler, M.D.
• Emma Cotton Fowler, PA-C
• John Keith Fowler, DPH
• John Williams Fowler Jr., M.D.

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.