Mackensie Grant De La Roca, FNP - Medicare Nurse Practitioner in Forest City, NC

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Mackensie Grant De La Roca, FNP is a medicare enrolled "Nurse Practitioner - Family" in Forest City, North Carolina. Her current practice location is 181 Daniel Rd, Forest City, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 286-9036.

Mackensie Grant De La Roca is licensed to practice in North Carolina (license number 5013589) 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 1134720766.

Contact Information

Mackensie Grant De La Roca, FNP
181 Daniel Rd,
Forest City, NC 28043-7151
(828) 286-9036
Not Available

Map and Direction




Provider's Profile

Full NameMackensie Grant De La Roca
GenderFemale
SpecialityNurse Practitioner - Family
Location181 Daniel Rd, Forest City, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134720766
  • Provider Enumeration Date: 11/02/2020
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901215441
  • Enrollment ID: I20210512002749

Medical Identifiers

Medical identifiers for Mackensie Grant De La Roca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134720766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5013589 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5013589 (North Carolina)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. Mackensie Grant De La Roca allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameWilmington Internal Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639201056
PECOS PAC ID: 9931270766
Enrollment ID: O20080620000555

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. Mackensie Grant De La Roca 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 AddressPractice Location Address
Mackensie Grant De La Roca, FNP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Mackensie Grant De La Roca, FNP
181 Daniel Rd,
Forest City, NC 28043-7151

Ph: (828) 286-9036

Reviews and Comments


Nurse Practitioner Nurses in Forest City, NC

Lauren Lee Kahn,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 187 Lowes Blvd, Forest City, NC 28043
Phone: 828-395-1232    
Julie Curtis Thorn, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 374 Hudlow Rd, Forest City, NC 28043
Phone: 828-245-0095    Fax: 828-248-9434
Taylor Marchana Miller, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 212 Allendale Dr, Forest City, NC 28043
Phone: 828-245-7626    
Janet Bennie, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 212 Allendale Dr, Forest City, NC 28043
Phone: 828-245-7626    
Elizabeth Z Thelan, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 374 Hudlow Rd, Forest City, NC 28043
Phone: 828-245-0095    
Mr. Clayton Shuford Moore, FNP-BC, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 127 E Trade St Ste B100, Forest City, NC 28043
Phone: 828-220-4174    Fax: 833-972-5139

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.