Kyle Mackinnon, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Boston, Massachusetts. His current practice location is
360 Huntington Ave, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 875-2341.
Kyle Mackinnon is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306518618.
Provider's Profile
Full Name | Kyle Mackinnon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 360 Huntington Ave, Boston, Massachusetts |
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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: 1306518618
- Provider Enumeration Date: 10/05/2021
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971957887
- Enrollment ID: I20230927000106
Medical Identifiers
Medical identifiers for Kyle Mackinnon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306518618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kyle Mackinnon 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 |
Kyle Mackinnon, 8 Green St, Watertown, MA 02472-2352 Ph: () - | Kyle Mackinnon, 360 Huntington Ave, Boston, MA 02115-5005 Ph: (978) 875-2341 |
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