Kimberly Diane Mackay, NNP in Jacksonville, FL

Kimberly Diane Mackay, NNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Jacksonville, Florida. Her current practice location is 655 W 8th St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-3508.

Kimberly Diane Mackay is licensed to practice in Florida (license number APRN11030321) 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 1730727314.

Contact Information

	Kimberly Diane Mackay, NNP
	655 W 8th St, Jacksonville, FL 32209-6511
	(904) 244-3508
	(904) 244-4301

Map and Direction

Provider's Profile

Full Name	Kimberly Diane Mackay
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	655 W 8th St, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730727314
Provider Enumeration Date: 12/14/2019
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7113326869
Enrollment ID: I20240213000287

Medical Identifiers

Medical identifiers for Kimberly Diane Mackay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730727314	NPI	-	NPPES
APRN11030321	Other	FL	FLORIDA APRN LIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	683428 (Texas)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	APRN11030321 (Florida)	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. Kimberly Diane Mackay allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Kimberly Diane Mackay 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
Kimberly Diane Mackay, NNP Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 244-3508	Kimberly Diane Mackay, NNP 655 W 8th St, Jacksonville, FL 32209-6511 Ph: (904) 244-3508

Reviews and Comments

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Kimberly Diane Mackay, NNP - Medicare Nurse Practitioner in Jacksonville, FL