Ms Makenzie Brynn Duncan, is a medicare enrolled "Physician Assistant" in La Salle, Michigan. Her current practice location is
3018 Yargerville Rd, La Salle, Michigan. You can reach out to her office (for appointments etc.) via phone at
(419) 350-9678.
Ms Makenzie Brynn Duncan is licensed to practice in Indiana (license number 10003146A) 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 1952921272.
Provider's Profile
Full Name | Ms Makenzie Brynn Duncan |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3018 Yargerville Rd, La Salle, Michigan |
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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: 1952921272
- Provider Enumeration Date: 04/17/2020
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113313917
- Enrollment ID: I20220404001730
Medical Identifiers
Medical identifiers for Ms Makenzie Brynn Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952921272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 10003146A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 10003146A (Indiana) | 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. Ms Makenzie Brynn Duncan 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 |
Ms Makenzie Brynn Duncan, 462 E 10th St, Indianapolis, IN 46202-4600 Ph: (419) 350-9678 | Ms Makenzie Brynn Duncan, 3018 Yargerville Rd, La Salle, MI 48145-9792 Ph: (419) 350-9678 |
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