Mackenzie Moore, PA-C is a medicare enrolled "Physician Assistant" physician in Danville, Pennsylvania. Her current practice location is
100 N Academy Ave, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 271-6211.
Mackenzie Moore is licensed to practice in Pennsylvania (license number MA064615) 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 1679252399.
Physician's Profile
Full Name | Mackenzie Moore |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 100 N Academy Ave, Danville, Pennsylvania |
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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: 1679252399
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769837384
- Enrollment ID: I20231017000677
Medical Identifiers
Medical identifiers for Mackenzie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679252399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MA064615 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | MA064615 (Pennsylvania) | 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 Moore 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 Moore, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Mackenzie Moore, PA-C 100 N Academy Ave, Danville, PA 17822-0001 Ph: (570) 271-6211 |
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