Mackenzie Lurene Mashburn Grillo, NP in Douglasville, GA

Mackenzie Lurene Mashburn Grillo, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Douglasville, Georgia. Her current practice location is 8954 Hospital Dr, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 640-5023.

Mackenzie Lurene Mashburn Grillo is licensed to practice in Georgia (license number RN191815) 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 1891205373.

Contact Information

	Mackenzie Lurene Mashburn Grillo, NP
	8954 Hospital Dr, Douglasville, GA 30134-2272
	(678) 640-5023
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Lurene Mashburn Grillo
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	8954 Hospital Dr, Douglasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891205373
Provider Enumeration Date: 10/10/2017
Last Update Date: 10/10/2017

Medicare PECOS Information:

PECOS PAC ID: 7810256534
Enrollment ID: I20180125000839

Medical Identifiers

Medical identifiers for Mackenzie Lurene Mashburn Grillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891205373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN191815 (Georgia)	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 Lurene Mashburn Grillo allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Lurene Mashburn Grillo 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 Lurene Mashburn Grillo, NP 3316 High Noontide Way Nw, Acworth, GA 30101-6967 Ph: (678) 640-5023	Mackenzie Lurene Mashburn Grillo, NP 8954 Hospital Dr, Douglasville, GA 30134-2272 Ph: (678) 640-5023

Reviews and Comments

Nurse Practitioner Nurses in Douglasville, GA

Amparo Pyronneau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8954 Hospital Dr, Building B, Suite 115, Douglasville, GA 30134 Phone: 770-874-5400
Ms. Tommie Joann Floyd, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6025 Professional Pkwy Ste 200, Douglasville, GA 30134 Phone: 770-949-0555
Irene Obiageri Ibenyenwa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6031 Fairburn Rd, Douglasville, GA 30134 Phone: 770-942-9214
Nina Sheria Lagarde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 678-838-2584
Amanda Ray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9280 Highway 5, Douglasville, GA 30134 Phone: 770-949-2250
Hina Rajesh Nana, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134 Phone: 770-949-0555 Fax: 770-949-4424
Kelly Quiana Talbert Thaggard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022

Mackenzie Lurene Mashburn Grillo, NP - Medicare Nurse Practitioner in Douglasville, GA