Mackenzie Anne Eagleson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. Her current practice location is
600 N Wolfe St, Tower 110, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 955-5000.
Mackenzie Anne Eagleson is licensed to practice in Maryland (license number 5995) 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 1558892422.
Physician's Profile
Full Name | Mackenzie Anne Eagleson |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 600 N Wolfe St, Baltimore, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558892422
- Provider Enumeration Date: 03/23/2017
- Last Update Date: 03/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860761335
- Enrollment ID: I20170627002515
Medical Identifiers
Medical identifiers for Mackenzie Anne Eagleson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558892422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 5995 (Maryland) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5995 (Maryland) | Primary |
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 Anne Eagleson 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 Anne Eagleson, MD 600 N Wolfe St, Tower 110, Baltimore, MD 21287-0005 Ph: (410) 955-5000 | Mackenzie Anne Eagleson, MD 600 N Wolfe St, Tower 110, Baltimore, MD 21287-0005 Ph: (410) 955-5000 |
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