Mackenzie Brooke Pung, in Milford, MI - Medicare Nurse Practitioner

Mackenzie Brooke Pung, is a medicare enrolled "Nurse Practitioner - Acute Care" in Milford, Michigan. Her current practice location is 3920 Childs Lake Rd, Milford, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 640-6739.

Mackenzie Brooke Pung is licensed to practice in Michigan (license number 4704351413) 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 1376320424.

Contact Information

	Mackenzie Brooke Pung,
	3920 Childs Lake Rd, Milford, MI 48381-3626
	(989) 640-6739
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Brooke Pung
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3920 Childs Lake Rd, Milford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376320424
Provider Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0749639763
Enrollment ID: I20231215000172

Medical Identifiers

Medical identifiers for Mackenzie Brooke Pung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376320424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704351413 (Michigan)	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. Mackenzie Brooke Pung allows following entities to bill medicare on her behalf.

Entity Name	Impg Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629848957 PECOS PAC ID: 2567723885 Enrollment ID: O20180301002396

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

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 Brooke Pung 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
Mackenzie Brooke Pung, 3920 Childs Lake Rd, Milford, MI 48381-3626 Ph: (989) 640-6739	Mackenzie Brooke Pung, 3920 Childs Lake Rd, Milford, MI 48381-3626 Ph: (989) 640-6739

Reviews and Comments

Nurse Practitioner Nurses in Milford, MI

Mrs. Mary Jo Oldford, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4181 Windmill Farms, Milford, MI 48380 Phone: 248-804-4323 Fax: 248-685-0156
Christine Maxim, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Highland Ave # 192, Milford, MI 48381 Phone: 810-853-5875 Fax: 586-279-4515
Cullen Gettings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Corporate Office Dr, Milford, MI 48381 Phone: 248-438-8535
Mrs. Ifiok Nsima Usen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2792 Tall Timbers Dr, Milford, MI 48380 Phone: 313-610-5482 Fax: 248-714-9463
Amanda Marie Yuchasz, MSN, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 General Motors Rd, Milford, MI 48381 Phone: 248-684-1775
Molly Anne Bacon, AGPCNP-C, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3840 W Commerce Rd, Milford, MI 48380 Phone: 810-247-0381

Mackenzie Brooke Pung, - Medicare Nurse Practitioner in Milford, MI