Ms Mackensie Nicole Miller, RDN, LD in North Charleston, SC - Medicare Dietitian, Registered Provider

Ms Mackensie Nicole Miller, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in North Charleston, South Carolina. Her current practice location is 2250 Mall Dr, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Ms Mackensie Nicole Miller is licensed to practice in South Carolina (license number 2339) 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 1235883141.

Contact Information

	Ms Mackensie Nicole Miller, RDN, LD
	2250 Mall Dr, North Charleston, SC 29406-6563
	(843) 792-1414
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mackensie Nicole Miller
Gender	Female
Speciality	Dietitian, Registered
Location	2250 Mall Dr, North Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235883141
Provider Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4385013531
Enrollment ID: I20221209000374

Medical Identifiers

Medical identifiers for Ms Mackensie Nicole Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235883141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2339 (South Carolina)	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. Ms Mackensie Nicole Miller allows following entities to bill medicare on her behalf.

Provider Name	Medical University Hospital Authority
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499

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. Ms Mackensie Nicole Miller 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
Ms Mackensie Nicole Miller, RDN, LD 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414	Ms Mackensie Nicole Miller, RDN, LD 2250 Mall Dr, North Charleston, SC 29406-6563 Ph: (843) 792-1414

Reviews and Comments

Dietitian, Registered in North Charleston, SC

Kaleigh Nolen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2250 Mall Dr, North Charleston, SC 29406 Phone: 843-876-0444
Melissa Omega Mitchell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5319 Parkshire Way, North Charleston, SC 29418 Phone: 843-767-2121 Fax: 843-767-2102
Linda Laverne Washington, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3600 Rivers Ave, North Charleston, SC 29405 Phone: 843-743-7868 Fax: 843-743-7521
Karla Beckwith, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4050 Bridge View Dr, Suite 600, North Charleston, SC 29405 Phone: 843-953-0071
Bailey Christine Goggin, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2250 Mall Dr, North Charleston, SC 29406 Phone: 843-876-9200
Patricia Harper, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4050 Bridge View Dr, Suite 600, North Charleston, SC 29405 Phone: 843-953-0038

Ms Mackensie Nicole Miller, RDN, LD - Medicare Dietitian in North Charleston, SC