Mackenzie Rochon Clark, APNP in Fitchburg, WI

Mackenzie Rochon Clark, APNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fitchburg, Wisconsin. Her current practice location is 5395 E Cheryl Pkwy, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 276-4660.

Mackenzie Rochon Clark is licensed to practice in Wisconsin (license number 4852-33) 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 1417396524.

Contact Information

	Mackenzie Rochon Clark, APNP
	5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395
	(608) 276-4660
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Rochon Clark
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	5395 E Cheryl Pkwy, Fitchburg, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417396524
Provider Enumeration Date: 06/21/2013
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2668612961
Enrollment ID: I20130710000377

Medical Identifiers

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

Identifier	Type	State	Issuer
1417396524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	155942-30 (Wisconsin)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	4852-33 (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 Rochon Clark allows following entities to bill medicare on her behalf.

Entity Name	Agrace Palliative Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326386129 PECOS PAC ID: 4385882729 Enrollment ID: O20130524000443

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 Rochon 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 Rochon Clark, APNP 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 Ph: (608) 276-4660	Mackenzie Rochon Clark, APNP 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 Ph: (608) 276-4660

Reviews and Comments

Nurse Practitioner Nurses in Fitchburg, WI

Lynne Louise Svetnicka, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-257-9700
Katelyn D Beemon, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-661-7200
Leslie Leigh Adams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-263-7740 Fax: 608-262-6048
Megan Elizabeth Galske, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2844 Index Rd, Fitchburg, WI 53713 Phone: 608-229-7979 Fax: 608-229-8110
Jennifer L. Larson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3034 Fish Hatchery Rd, Fitchburg, WI 53713 Phone: 608-270-5656
Mrs. Dawn M Sebranek, RN, CPNP, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-257-9700
Mrs. Kim Teresa Hackbarth, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-257-9700

Mackenzie Rochon Clark, APNP - Medicare Nurse Practitioner in Fitchburg, WI