Mackenzie Burke, RD is a medicare enrolled "Health & Wellness Coach" provider in Madison, Wisconsin. Her current practice location is
600 Highland Ave, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 890-5500.
Mackenzie Burke 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 1194494906.
Healthcare Provider's Profile
| Full Name | Mackenzie Burke |
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| Gender | Female |
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| Speciality | Health & Wellness Coach |
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| Location | 600 Highland Ave, Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194494906
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799183372
- Enrollment ID: I20211012002879
Medical Identifiers
Medical identifiers for Mackenzie Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194494906 | NPI | - | NPPES |
| 3687-29 | Other | WI | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 3687-29 (Wisconsin) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mackenzie Burke allows following entities to bill medicare on her behalf.
| Provider Name | University Of Wisconsin Medical Foundation Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435 |
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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. Mackenzie Burke 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 |
|---|
Mackenzie Burke, RD
7974 Uw Health Ct,
Middleton, WI 53562-5531
Ph: () - | Mackenzie Burke, RD
600 Highland Ave,
Madison, WI 53792-2002
Ph: (608) 890-5500 |
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