Mackenzie Souza, MS, LDN in Worcester, MA - Medicare Dietitian, Registered Provider

Mackenzie Souza, MS, LDN is a medicare enrolled "Dietitian, Registered" provider in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 443-3435.

Mackenzie Souza 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 1013579671.

Contact Information

	Mackenzie Souza, MS, LDN
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 443-3435
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Souza
Gender	Female
Speciality	Dietitian, Registered
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013579671
Provider Enumeration Date: 07/03/2019
Last Update Date: 07/03/2019

Medicare PECOS Information:

PECOS PAC ID: 7618203878
Enrollment ID: I20190725000760

Medical Identifiers

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

Identifier	Type	State	Issuer
1013579671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (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 Souza allows following entities to bill medicare on her behalf.

Provider Name	Umass Memorial Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689760092 PECOS PAC ID: 6204745904 Enrollment ID: O20031126000444

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 Souza 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 Souza, MS, LDN 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 443-3435	Mackenzie Souza, MS, LDN 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 443-3435

Reviews and Comments

Dietitian, Registered in Worcester, MA

Ms. Ashley Jermaine Wight, RD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3411
Lindsey M. Gesualdi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 630 Plantation St, Worcester, MA 01605 Phone: 508-852-6175 Fax: 508-595-2941
Abigail Boatemaa, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Queen St, Worcester, MA 01610 Phone: 978-868-7964
Colleen Daly, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 60 Wrentham Rd, Worcester, MA 01602 Phone: 508-404-8103
Jennifer Parker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-1000
Kasandra P Reid, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44 Portland St Fl 1, Worcester, MA 01608 Phone: 617-249-3253

Mackenzie Souza, MS, LDN - Medicare Dietitian in Worcester, MA