Mackenzie Dougherty, RD, CD - Medicare Dietitian in Saint Paul, MN

Mackenzie Dougherty, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Saint Paul, Minnesota. Her current practice location is 2265 Como Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 645-5323.

Mackenzie Dougherty is licensed to practice in Minnesota (license number 3882) 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 1053612283.

Contact Information

Mackenzie Dougherty, RD, CD
2265 Como Ave,
Saint Paul, MN 55108-1737
(651) 645-5323
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMackenzie Dougherty
GenderFemale
SpecialityDietitian, Registered
Location2265 Como Ave, Saint Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053612283
  • Provider Enumeration Date: 11/04/2010
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436335056
  • Enrollment ID: I20180418001422

Medical Identifiers

Medical identifiers for Mackenzie Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053612283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
133V00000XDietitian, Registered 3882 (Minnesota)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 Dougherty allows following entities to bill medicare on her behalf.
Provider NameUniversity Of Minnesota Physicians
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Provider NameEmily Program Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1528165065
PECOS PAC ID: 5193623254
Enrollment ID: O20031229000014

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 Dougherty 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 AddressPractice Location Address
Mackenzie Dougherty, RD, CD
2265 Como Ave,
Saint Paul, MN 55108-1737

Ph: () -
Mackenzie Dougherty, RD, CD
2265 Como Ave,
Saint Paul, MN 55108-1737

Ph: (651) 645-5323

Reviews and Comments


Dietitian, Registered in Saint Paul, MN

Christina Yokanovich, RD,LD
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Stephanie K Campbell,
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Practice Location: 200 University Ave E, Saint Paul, MN 55101
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Deanna Miller,
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Medicare: Not Enrolled in Medicare
Practice Location: 2265 Como Ave, Saint Paul, MN 55108
Phone: 651-645-5323    Fax: 651-647-5135
Lindsey Stiyer, RD
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Medicare: Not Enrolled in Medicare
Practice Location: 2265 Como Ave, Saint Paul, MN 55108
Phone: 651-645-5323    Fax: 561-379-6141

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.