Mackenzie Bonnewitz, PA-S is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Mackenzie Bonnewitz is licensed to practice in Oklahoma (license number ) and her current practice location is
1211 E 8th St Apt 201, Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 906-6523.
NPI number for Mackenzie Bonnewitz is 1487438560 and her current mailing address is 1211 E 8th St Apt 201, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487438560.
Provider's Profile
| Full Name | Mackenzie Bonnewitz |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1211 E 8th St Apt 201, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487438560
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Mackenzie Bonnewitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487438560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oklahoma) | 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. Mackenzie Bonnewitz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mackenzie Bonnewitz, PA-S
1211 E 8th St Apt 201,
Tulsa, OK 74120-4661
Ph: (918) 906-6523 | Mackenzie Bonnewitz, PA-S
1211 E 8th St Apt 201,
Tulsa, OK 74120-4661
Ph: (918) 906-6523 |
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