Mackenzie Dillis, is a medicare enrolled "Advanced Practice Midwife" in Lodi, California. Her current practice location is
2401 W Turner Rd Ste 450, Lodi, California. You can reach out to her office (for appointments etc.) via phone at
(209) 370-1700.
Mackenzie Dillis is licensed to practice in California (license number CNM05720) 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 1932740214.
Provider's Profile
Full Name | Mackenzie Dillis |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2401 W Turner Rd Ste 450, Lodi, California |
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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: 1932740214
- Provider Enumeration Date: 10/08/2019
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830521087
- Enrollment ID: I20240404003537
Medical Identifiers
Medical identifiers for Mackenzie Dillis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932740214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | CNM05720 (California) | 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 Dillis allows following entities to bill medicare on her behalf.
Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
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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 Dillis 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 Dillis, 2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 Ph: () - | Mackenzie Dillis, 2401 W Turner Rd Ste 450, Lodi, CA 95242 Ph: (209) 370-1700 |
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