Mackenzie Raye Owens Clark, WHNP in Knoxville, TN

Mackenzie Raye Owens Clark, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Knoxville, Tennessee. Her current practice location is 1928 Alcoa Hwy, Medical Building B, Suite 300, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 305-9799.

Mackenzie Raye Owens Clark is licensed to practice in Tennessee (license number 32574) 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 1710602636.

Contact Information

	Mackenzie Raye Owens Clark, WHNP
	1928 Alcoa Hwy, Medical Building B, Suite 300, Knoxville, TN 37920
	(865) 305-9799
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Raye Owens Clark
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1928 Alcoa Hwy, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710602636
Provider Enumeration Date: 10/04/2022
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2163890062
Enrollment ID: I20221128001390

Medical Identifiers

Medical identifiers for Mackenzie Raye Owens Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710602636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	253743 (Tennessee)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	32574 (Tennessee)	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 Raye Owens Clark allows following entities to bill medicare on her behalf.

Entity Name	University Health System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809

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 Raye Owens Clark 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 Raye Owens Clark, WHNP 8658 Leeanna Brooke Ln, Knoxville, TN 37920-7740 Ph: (443) 535-7734	Mackenzie Raye Owens Clark, WHNP 1928 Alcoa Hwy, Medical Building B, Suite 300, Knoxville, TN 37920 Ph: (865) 305-9799

Reviews and Comments

Nurse Practitioner Nurses in Knoxville, TN

Mrs. Patricia M Huddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1940 Alcoa Hwy, Ste 180, Knoxville, TN 37920 Phone: 865-305-6955 Fax: 865-305-8238
Mrs. Sara A Jones, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920 Phone: 865-305-8780 Fax: 865-305-8199
Rachel Payne, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 20th St Ste 505, Knoxville, TN 37916 Phone: 865-546-0157 Fax: 865-374-2177
Cynthia Gail Meadows, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1926 Alcoa Hwy Bldg F Ste 380, Knoxville, TN 37920 Phone: 865-544-9171 Fax: 865-305-6886
Emily A. Radcliffe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9333 Park West Blvd, Knoxville, TN 37923 Phone: 865-531-4600 Fax: 865-690-2271
Sydney Wallace Sherrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Accelerator Way Ste 200, Knoxville, TN 37920 Phone: 865-546-2663
Madeline Kaye Dangerfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11416 Grigsby Chapel Rd, Ste 103, Knoxville, TN 37934 Phone: 865-966-2688 Fax: 865-777-0613

Mackenzie Raye Owens Clark, WHNP - Medicare Nurse Practitioner in Knoxville, TN