Mackenzie Sue Westphal, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Missoula, Montana. Her current practice location is
601 W Spruce St Ste J, Missoula, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 327-3350.
Mackenzie Sue Westphal is licensed to practice in Montana (license number NUR-APRN-LIC-217090) 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 1801548672.
Physician's Profile
| Full Name | Mackenzie Sue Westphal |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 601 W Spruce St Ste J, Missoula, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801548672
- Provider Enumeration Date: 01/24/2022
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688028947
- Enrollment ID: I20230920004435
Medical Identifiers
Medical identifiers for Mackenzie Sue Westphal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801548672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | NUR-APRN-LIC-217090 (Montana) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | NUR-APRN-LIC-217090 (Montana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-217090 (Montana) | 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. Mackenzie Sue Westphal allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services Mt |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144319138
PECOS PAC ID: 6608786306
Enrollment ID: O20031229000787 |
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| Entity Name | Montana Neurology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780810275
PECOS PAC ID: 9436296928
Enrollment ID: O20091103000170 |
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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 Sue Westphal 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 Sue Westphal, NP
Po Box 12,
Liberty Lake, WA 99019-0012
Ph: (509) 824-1284 | Mackenzie Sue Westphal, NP
601 W Spruce St Ste J,
Missoula, MT 59802-4047
Ph: (406) 327-3350 |
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