Mackenzie Emma Mitchell, DPT is a medicare enrolled "Physical Therapist" provider in Webster, Wisconsin. Her current practice location is
26425 Lakeland Ave S, Webster, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 866-4271.
Mackenzie Emma Mitchell is licensed to practice in Wisconsin (license number 14686) 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 1538726674.
Healthcare Provider's Profile
| Full Name | Mackenzie Emma Mitchell |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 26425 Lakeland Ave S, Webster, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538726674
- Provider Enumeration Date: 05/23/2019
- Last Update Date: 05/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 5991030769
- Enrollment ID: I20190716002589
Medical Identifiers
Medical identifiers for Mackenzie Emma Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538726674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 14686 (Wisconsin) | 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 Emma Mitchell allows following entities to bill medicare on her behalf.
| Provider Name | St. Croix Regional Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217 |
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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 Emma Mitchell 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 |
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Mackenzie Emma Mitchell, DPT
235 E State St,
Saint Croix Falls, WI 54024-4117
Ph: (715) 483-3221 | Mackenzie Emma Mitchell, DPT
26425 Lakeland Ave S,
Webster, WI 54893-8343
Ph: (715) 866-4271 |
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