Mackenzie E Douglass, MSN, CNM - Medicare Advanced Practice Midwife in Santa Cruz, CA

  1. Home
  2. Advanced Practice Midwife
  3. CA
  4. Santa Cruz
Mackenzie E Douglass, MSN, CNM is a medicare enrolled "Advanced Practice Midwife" in Santa Cruz, California. Her current practice location is 1505 Soquel Dr Ste 1, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 465-5440.

Mackenzie E Douglass is licensed to practice in California (license number 95212458) 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 1922446889.

Contact Information

Mackenzie E Douglass, MSN, CNM
1505 Soquel Dr Ste 1,
Santa Cruz, CA 95065-1716
(831) 465-5440
(831) 462-2017

Map and Direction




Provider's Profile

Full NameMackenzie E Douglass
GenderFemale
SpecialityAdvanced Practice Midwife
Location1505 Soquel Dr Ste 1, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922446889
  • Provider Enumeration Date: 06/12/2013
  • Last Update Date: 07/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072879295
  • Enrollment ID: I20171103001839

Medical Identifiers

Medical identifiers for Mackenzie E Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922446889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife APRN.CNM.019342 (Ohio)Secondary
367A00000XAdvanced Practice Midwife 209.010345 (Illinois)Secondary
367A00000XAdvanced Practice Midwife 95212458 (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 E Douglass allows following entities to bill medicare on her behalf.
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301

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 E Douglass 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 AddressPractice Location Address
Mackenzie E Douglass, MSN, CNM
3400 Data Dr, Attn Credentialing/payer Enrollment,
Rancho Cordova, CA 95670-7956

Ph: () -		Mackenzie E Douglass, MSN, CNM
1505 Soquel Dr Ste 1,
Santa Cruz, CA 95065-1716

Ph: (831) 465-5440

Reviews and Comments


Advanced Practice Midwife Nurses in Santa Cruz, CA

Ms. Alexandra Michael Cowper, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 2907 Chanticleer Ave, Santa Cruz, CA 95065
Phone: 831-477-2375    
Tamara Juel Nelson, CNM, RN
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065
Phone: 831-465-5440    Fax: 831-462-2017
Angela Winston Vargas, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2907 Chanticleer Ave, Santa Cruz, CA 95065
Phone: 831-477-2375    
Ms. Kathryn Rae Millar, MPH, MSN, CNM, RN
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 2907 Chanticleer Ave, Santa Cruz, CA 95065
Phone: 831-477-2373    
Ms. Anabel Albano, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 2907 Chanticleer Ave, Santa Cruz, CA 95065
Phone: 831-477-2325    
Elena Rosa Gutierrez, CNM/WHNP-BC
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065
Phone: 831-465-5440    Fax: 831-462-2017
Ms. Meredith S Hammig, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1779 Dominican Way, Ste B, Santa Cruz, CA 95065
Phone: 831-479-4966    Fax: 831-479-4967

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.