Mark Mckinney, PA-S is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Madison, Wisconsin. His current practice location is
750 Highland Ave # Hslc1270, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 263-5620.
Mark Mckinney is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437784139.
Provider's Profile
Full Name | Mark Mckinney |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 750 Highland Ave # Hslc1270, Madison, Wisconsin |
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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: 1437784139
- Provider Enumeration Date: 03/03/2020
- Last Update Date: 07/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456776939
- Enrollment ID: I20200730002357
Medical Identifiers
Medical identifiers for Mark Mckinney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437784139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mark Mckinney 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 |
Mark Mckinney, PA-S 605 Park St, Antigo, WI 54409-2743 Ph: (715) 627-1111 | Mark Mckinney, PA-S 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 Ph: (608) 263-5620 |
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