Mackenzie Erin Sullivan, MS,RDN, LDN, CDE in Sayre, PA - Medicare Dietitian, Registered Provider

Mackenzie Erin Sullivan, MS,RDN, LDN, CDE is a medicare enrolled "Dietitian, Registered" provider in Sayre, Pennsylvania. Her current practice location is 317 W Lockhart St, Sayre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 887-3920.

Mackenzie Erin Sullivan is licensed to practice in Pennsylvania (license number DN005869) 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 1801250147.

Contact Information

	Mackenzie Erin Sullivan, MS,RDN, LDN, CDE
	317 W Lockhart St, Sayre, PA 18840-1618
	(570) 887-3920
	(570) 887-3035

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Erin Sullivan
Gender	Female
Speciality	Dietitian, Registered
Location	317 W Lockhart St, Sayre, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801250147
Provider Enumeration Date: 04/13/2016
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 0244529071
Enrollment ID: I20160518001826

Medical Identifiers

Medical identifiers for Mackenzie Erin Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801250147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN005869 (Pennsylvania)	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 Erin Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Guthrie Medical Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571

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 Erin Sullivan 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 Erin Sullivan, MS,RDN, LDN, CDE 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858	Mackenzie Erin Sullivan, MS,RDN, LDN, CDE 317 W Lockhart St, Sayre, PA 18840-1618 Ph: (570) 887-3920

Reviews and Comments

Dietitian, Registered in Sayre, PA

Melanie Jean Slavens, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-6666
Christine Wozniak, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Desmond St, Sayre, PA 18840 Phone: 570-887-2832 Fax: 570-887-3035
Ms. Sara Lynn Stamp, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Desmond St, Sayre, PA 18840 Phone: 570-887-2832
Arica Fratarcangeli, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 317 W Lockhart St, Sayre, PA 18840 Phone: 570-887-3920 Fax: 570-887-3035
Mrs. Denise Carolyn Hamilton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1537 Elmira St, Sayre, PA 18840 Phone: 570-888-6803
Kaylie Pick, MS, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 317 W Lockhart St, Sayre, PA 18840 Phone: 570-887-3920
Adrienne M. Bragg, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858

Mackenzie Erin Sullivan, MS,RDN, LDN, CDE - Medicare Dietitian in Sayre, PA