Mrs Mackenzie Leigh Cucancic, RN in Jasper, TX

Mrs Mackenzie Leigh Cucancic, RN is a medicare enrolled "Nurse Practitioner - Family" in Jasper, Texas. Her current practice location is 494 Springhill St Ste 100, Jasper, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 715-7199.

Mrs Mackenzie Leigh Cucancic is licensed to practice in Texas (license number 2021210317) 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 1336891449.

Contact Information

	Mrs Mackenzie Leigh Cucancic, RN
	494 Springhill St Ste 100, Jasper, TX 75951-5055
	(936) 715-7199
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mackenzie Leigh Cucancic
Gender	Female
Speciality	Nurse Practitioner - Family
Location	494 Springhill St Ste 100, Jasper, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336891449
Provider Enumeration Date: 01/20/2022
Last Update Date: 04/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0749625531
Enrollment ID: I20240304000224

Medical Identifiers

Medical identifiers for Mrs Mackenzie Leigh Cucancic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336891449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	883819 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	2021210317 (Texas)	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. Mrs Mackenzie Leigh Cucancic allows following entities to bill medicare on her behalf.

Entity Name	Jasper County Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972038503 PECOS PAC ID: 8820365695 Enrollment ID: O20170526000246

Entity Name	Hooked On Health Family Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295200228 PECOS PAC ID: 4587999818 Enrollment ID: O20190709002625

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. Mrs Mackenzie Leigh Cucancic 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
Mrs Mackenzie Leigh Cucancic, RN 612 W Woodland St, Kirbyville, TX 75956-1538 Ph: (936) 715-7199	Mrs Mackenzie Leigh Cucancic, RN 494 Springhill St Ste 100, Jasper, TX 75951-5055 Ph: (936) 715-7199

Reviews and Comments

Nurse Practitioner Nurses in Jasper, TX

Mrs. Kamesha Jennel Barnes, CPN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 409-384-5701
Vicky St John, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 W Houston St, Jasper, TX 75951 Phone: 409-384-3430 Fax: 409-383-1054
Mrs. Jill Christine Pate, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 409-384-5701
Edith Lorraine Hodges, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 W Gibson St, Jasper, TX 75951 Phone: 409-336-2088
Jenna-maree Inman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1273 S Peachtree St, Jasper, TX 75951 Phone: 409-384-9200
Gregory Lee Gray, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 902 N Wheeler St, Jasper, TX 75951 Phone: 409-384-4336
Alyson Vanya, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Dickerson Dr, Jasper, TX 75951 Phone: 409-489-9322

Mrs Mackenzie Leigh Cucancic, RN - Medicare Nurse Practitioner in Jasper, TX