Mackenzie Thomas Ledbetter, FNP-C is a medicare enrolled "Family Medicine - Adult Medicine" in Alexander City, Alabama. Her current practice location is
815 Lee St, Alexander City, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 212-9300.
Mackenzie Thomas Ledbetter is licensed to practice in Alabama (license number 1-100396) 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 1124865118.
Provider's Profile
Full Name | Mackenzie Thomas Ledbetter |
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Gender | Female |
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Speciality | Family Medicine - Adult Medicine |
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Location | 815 Lee St, Alexander City, Alabama |
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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: 1124865118
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901346964
- Enrollment ID: I20240905002976
Medical Identifiers
Medical identifiers for Mackenzie Thomas Ledbetter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124865118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-100396 (Alabama) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | 1-100396 (Alabama) | 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 Thomas Ledbetter allows following entities to bill medicare on her behalf.
Entity Name | Basel Refai Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003843939 PECOS PAC ID: 2769433903 Enrollment ID: O20050204000763 |
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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 Thomas Ledbetter 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 Thomas Ledbetter, FNP-C 815 Lee St, Alexander City, AL 35010-2882 Ph: (256) 212-9300 | Mackenzie Thomas Ledbetter, FNP-C 815 Lee St, Alexander City, AL 35010-2882 Ph: (256) 212-9300 |
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