Kenzi Mccalister, is a medicare enrolled "Nurse Practitioner" in El Macero, California. Her current practice location is
44452 N El Macero Dr, El Macero, California. You can reach out to her office (for appointments etc.) via phone at
(530) 816-1462.
Kenzi Mccalister is licensed to practice in California (license number 95025178) 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 1740970383.
Provider's Profile
Full Name | Kenzi Mccalister |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 44452 N El Macero Dr, El Macero, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740970383
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 04/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698132652
- Enrollment ID: I20230606003024
Medical Identifiers
Medical identifiers for Kenzi Mccalister such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740970383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 95025178 (California) | Primary |
163W00000X | Registered Nurse | 95241918 (California) | Secondary |
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. Kenzi Mccalister allows following entities to bill medicare on her behalf.
Entity Name | Generational Wellness And Nursing Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477244861 PECOS PAC ID: 4789041740 Enrollment ID: O20230606002949 |
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Entity Name | Altea Medical California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174302954 PECOS PAC ID: 1850740150 Enrollment ID: O20231212002787 |
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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. Kenzi Mccalister 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 |
Kenzi Mccalister, 44452 N El Macero Dr, El Macero, CA 95618-1063 Ph: (530) 816-1462 | Kenzi Mccalister, 44452 N El Macero Dr, El Macero, CA 95618-1063 Ph: (530) 816-1462 |
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