Dr Susan Tara Mackey, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Patchogue, New York. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice New York University and her current practice location is
77 Medford Ave, Patchogue, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 758-1910.
Dr Susan Tara Mackey is licensed to practice in New York (license number 018994-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427080563.
Healthcare Provider's Profile
| Full Name | Dr Susan Tara Mackey |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 77 Medford Ave, Patchogue, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Susan Tara Mackey graduated from medical school in 2015
NPI Data:
- NPI Number: 1427080563
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951335371
- Enrollment ID: I20151201002060
Medical Identifiers
Medical identifiers for Dr Susan Tara Mackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427080563 | NPI | - | NPPES |
| P735820 | Other | | OXFORD |
| C07538-4 | Other | NY | WC |
| C0753YM | Other | NY | WC |
| 605796 | Other | | ACN |
| 929118N | Other | | MDC |
| 80315 | Other | | VYTRA |
| 859940 | Other | | GHI |
| 8675557 | Other | | CIGNA |
| 2124488 | Other | | AETNA |
| 6I020569Y06 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X007538-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 018994-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New York University | 1355232422 | 4495 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Tara Mackey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan Tara Mackey, DC, PA-C
77 Medford Ave,
Patchogue, NY 11772-1281
Ph: (631) 758-1910 | Dr Susan Tara Mackey, DC, PA-C
77 Medford Ave,
Patchogue, NY 11772-1281
Ph: (631) 758-1910 |
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