Elizabeth Marie Mackall, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Bethesda, Maryland. Her current practice location is
8955 Wood Road, Building 1, Room 4405, Bethesda, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 295-0404.
Elizabeth Marie Mackall is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912409657.
Healthcare Provider's Profile
Full Name | Elizabeth Marie Mackall |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 8955 Wood Road, Bethesda, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912409657
- Provider Enumeration Date: 03/07/2018
- Last Update Date: 05/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628329257
- Enrollment ID: I20180920003194
Medical Identifiers
Medical identifiers for Elizabeth Marie Mackall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912409657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN23937 (Florida) | Secondary |
1223P0106X | Dentist - Oral And Maxillofacial Pathology | DN23937 (Florida) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Elizabeth Marie Mackall 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 |
Elizabeth Marie Mackall, 8955 Wood Road, Building 1, Room 4405, Bethesda, MD 20889 Ph: (301) 295-0404 | Elizabeth Marie Mackall, 8955 Wood Road, Building 1, Room 4405, Bethesda, MD 20889 Ph: (301) 295-0404 |
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