Kyra Mackenzie Engquist, PA-C is a medicare enrolled "Physician Assistant" in Turtle Lake, Wisconsin. Her current practice location is
550 Martin Ave W, Turtle Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 986-4101.
Kyra Mackenzie Engquist is licensed to practice in Wisconsin (license number 7140-23) 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 1871236307.
Provider's Profile
Full Name | Kyra Mackenzie Engquist |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 550 Martin Ave W, Turtle Lake, Wisconsin |
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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: 1871236307
- Provider Enumeration Date: 04/13/2022
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810365731
- Enrollment ID: I20221128002104
Medical Identifiers
Medical identifiers for Kyra Mackenzie Engquist such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871236307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 7140-23 (Wisconsin) | 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. Kyra Mackenzie Engquist 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 |
Kyra Mackenzie Engquist, PA-C 141 Tonnar St S, Ridgeland, WI 54763-9653 Ph: () - | Kyra Mackenzie Engquist, PA-C 550 Martin Ave W, Turtle Lake, WI 54889-9069 Ph: (715) 986-4101 |
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