Mackenzie Snortum, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Montevideo, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Enlightenment Psychiatry Llc and her current practice location is
1319 Grove Ave, Montevideo, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 321-9599.
Mackenzie Snortum is licensed to practice in Minnesota (license number 2019073975) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013555887.
Physician's Profile
| Full Name | Mackenzie Snortum |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1319 Grove Ave, Montevideo, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mackenzie Snortum graduated from medical school in 2019
NPI Data:
- NPI Number: 1013555887
- Provider Enumeration Date: 12/12/2019
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496180747
- Enrollment ID: I20200115001854
Medical Identifiers
Medical identifiers for Mackenzie Snortum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013555887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7127 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2019073975 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Enlightenment Psychiatry Llc | 0143607440 | 2 |
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 Snortum allows following entities to bill medicare on her behalf.
| Entity Name | Enlightenment Psychiatry Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629737473
PECOS PAC ID: 0143607440
Enrollment ID: O20220505002413 |
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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 Snortum 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 |
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Mackenzie Snortum, PMHNP
3970 180th St,
Montevideo, MN 56265-4415
Ph: (320) 321-9599 | Mackenzie Snortum, PMHNP
1319 Grove Ave,
Montevideo, MN 56265-1725
Ph: (320) 321-9599 |
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