Dacia Wilson Mackenzie, CRNA in Louisville, KY - Medicare Nurse Anesthetist, Certified Registered

Dacia Wilson Mackenzie, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. Her current practice location is 3920 Dutchmans Ln, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 259-6710.

Dacia Wilson Mackenzie is licensed to practice in Kentucky (license number 3015650) 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 1144556564.

Contact Information

	Dacia Wilson Mackenzie, CRNA
	3920 Dutchmans Ln, Louisville, KY 40207-4702
	(502) 259-6710
	(502) 259-6704

Map and Direction

Provider's Profile

Full Name	Dacia Wilson Mackenzie
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3920 Dutchmans Ln, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144556564
Provider Enumeration Date: 10/20/2009
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5496897928
Enrollment ID: I20100122000041

Medical Identifiers

Medical identifiers for Dacia Wilson Mackenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144556564	NPI	-	NPPES
7100717610	Medicaid	KY
300047669	Medicaid	IN
AN2027	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4087 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3015650 (Kentucky)	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. Dacia Wilson Mackenzie allows following entities to bill medicare on her behalf.

Entity Name	Trident Anesthesia Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391

Entity Name	Medical University Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499

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. Dacia Wilson Mackenzie 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
Dacia Wilson Mackenzie, CRNA Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Dacia Wilson Mackenzie, CRNA 3920 Dutchmans Ln, Louisville, KY 40207-4702 Ph: (502) 259-6710

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

Dacia Wilson Mackenzie, CRNA - Medicare Nurse Anesthetist, Certified Registered in Louisville, KY