Makenzie Jo Judy, is a
Physical Medicine & Rehabilitation physician based in Lutz, Florida. Makenzie Jo Judy is licensed to practice in Florida (license number PT35151) and her current practice location is 2614 Golden Antler Ln, Lutz, Florida. She can be reached at her office (for appointments etc.) via phone at
(417) 658-5308.
NPI number for Makenzie Jo Judy is 1043855406 and her current mailing address is 2614 Golden Antler Ln, Lutz, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043855406.
Physician's Profile
| Full Name | Makenzie Jo Judy |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2614 Golden Antler Ln, Lutz, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043855406
- Provider Enumeration Date: 11/08/2019
- Last Update Date: 11/08/2019
Medical Identifiers
Medical identifiers for Makenzie Jo Judy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043855406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT35151 (Florida) | 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. Makenzie Jo Judy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Makenzie Jo Judy,
2614 Golden Antler Ln,
Lutz, FL 33559-3130
Ph: (417) 658-5308 | Makenzie Jo Judy,
2614 Golden Antler Ln,
Lutz, FL 33559-3130
Ph: (417) 658-5308 |
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