Mackenzie Shallenberger, PA is a medicare enrolled "Physician Assistant" in Pittsfield, Illinois. Her current practice location is
640 W Washington St, Pittsfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 285-2113.
Mackenzie Shallenberger is licensed to practice in Illinois (license number 085-004155) 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 1942573001.
Provider's Profile
Full Name | Mackenzie Shallenberger |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 640 W Washington St, Pittsfield, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942573001
- Provider Enumeration Date: 02/20/2012
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840446845
- Enrollment ID: I20120807000571
Medical Identifiers
Medical identifiers for Mackenzie Shallenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942573001 | NPI | - | NPPES |
1101093 | Other | IL | NCCPA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085-004155 (Illinois) | Primary |
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 Shallenberger 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 Shallenberger, PA 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 Ph: (630) 324-7900 | Mackenzie Shallenberger, PA 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113 |
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