Mackenzie Mae Smith, in Sheboygan, WI - Medicare Nurse Practitioner

Mackenzie Mae Smith, is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan, Wisconsin. Her current practice location is 2124 Kohler Memorial Dr Ste 110, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (833) 821-7246.

Mackenzie Mae Smith is licensed to practice in Wisconsin (license number 11287-33) 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 1306515804.

Contact Information

	Mackenzie Mae Smith,
	2124 Kohler Memorial Dr Ste 110, Sheboygan, WI 53081-3174
	(833) 821-7246
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Mae Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2124 Kohler Memorial Dr Ste 110, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306515804
Provider Enumeration Date: 09/08/2021
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2769875293
Enrollment ID: I20220207000048

Medical Identifiers

Medical identifiers for Mackenzie Mae Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306515804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11287-33 (Wisconsin)	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 Mae Smith allows following entities to bill medicare on her behalf.

Entity Name	Louie Coulis Md Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447325691 PECOS PAC ID: 0749180529 Enrollment ID: O20040109000182

Entity Name	Wisconsin Spine And Pain Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790309276 PECOS PAC ID: 0345665469 Enrollment ID: O20200806002745

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 Mae Smith 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 Mae Smith, 409 Huron St, Manitowoc, WI 54220-2932 Ph: (920) 905-1236	Mackenzie Mae Smith, 2124 Kohler Memorial Dr Ste 110, Sheboygan, WI 53081-3174 Ph: (833) 821-7246

Reviews and Comments

Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Doris U Theune, MS RN CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-453-5414 Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081 Phone: 920-457-4858
Dr. Amanda Beinemann, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-459-8300
Pamela A Higgins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081 Phone: 920-496-4700
Jennifer L Thickens, APNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700

Mackenzie Mae Smith, - Medicare Nurse Practitioner in Sheboygan, WI