Mackenzie Jeanne Davis, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Raleigh, North Carolina. Her current practice location is
8841 Six Forks Rd # 102, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 217-5437.
Mackenzie Jeanne Davis is licensed to practice in North Carolina (license number 5018797) 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 1063962611.
Physician's Profile
Full Name | Mackenzie Jeanne Davis |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Pediatrics |
---|
Location | 8841 Six Forks Rd # 102, Raleigh, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063962611
- Provider Enumeration Date: 10/06/2016
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072879477
- Enrollment ID: I20220125000783
Medical Identifiers
Medical identifiers for Mackenzie Jeanne Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063962611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 27279 (Tennessee) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 5018797 (North Carolina) | 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 Jeanne Davis 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 Jeanne Davis, CPNP-PC 8841 Six Forks Rd # 102, Raleigh, NC 27615-2970 Ph: (984) 217-5437 | Mackenzie Jeanne Davis, CPNP-PC 8841 Six Forks Rd # 102, Raleigh, NC 27615-2970 Ph: (984) 217-5437 |
Reviews and Comments