Mckenna Mackintosh, DPT in Ridgefield, WA - Medicare Physical Therapist Provider

Mckenna Mackintosh, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Ridgefield, Washington. Her current practice location is 109 S 65th Ave Ste 105, Ridgefield, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 309-6189.

Mckenna Mackintosh is licensed to practice in Washington (license number PT61069123) 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 1477169001.

Contact Information

	Mckenna Mackintosh, DPT
	109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408
	(360) 309-6189
	(360) 309-6193

Map and Direction

Healthcare Provider's Profile

Full Name	Mckenna Mackintosh
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	109 S 65th Ave Ste 105, Ridgefield, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477169001
Provider Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020

Medicare PECOS Information:

PECOS PAC ID: 2668882598
Enrollment ID: I20201104003141

Medical Identifiers

Medical identifiers for Mckenna Mackintosh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477169001	NPI	-	NPPES
PT61069123	Other	WA	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61069123 (Washington)	Secondary
2251X0800X	Physical Therapist - Orthopedic	PT61069123 (Washington)	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. Mckenna Mackintosh allows following entities to bill medicare on her behalf.

Provider Name	Truemotion Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407474893 PECOS PAC ID: 6002235140 Enrollment ID: O20200923001765

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. Mckenna Mackintosh 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
Mckenna Mackintosh, DPT 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 Ph: (360) 309-6189	Mckenna Mackintosh, DPT 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 Ph: (360) 309-6189

Reviews and Comments

Physical Therapist in Ridgefield, WA

Zoralei Dayley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4318 S Settler Dr Ste 110, Ridgefield, WA 98642 Phone: 360-727-9025 Fax: 360-529-5847
Sydney F Peters, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 55 S 47th Ave Ste 111, Ridgefield, WA 98642 Phone: 360-254-6161
Elizabeth Townsend, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 S 56th Pl Ste 100, Ridgefield, WA 98642 Phone: 360-887-7147
Danielle Luiz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 S 56th Pl Ste 100, Ridgefield, WA 98642 Phone: 360-887-7147
Dr. Robert Louis Trimbo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 S 65th Ave, Ste 105, Ridgefield, WA 98642 Phone: 360-309-6189 Fax: 360-309-6193
Kathy Ann Ferreira, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21804 Nw 43rd Ave, Ridgefield, WA 98642 Phone: 360-887-0475

Mckenna Mackintosh, DPT - Medicare Physical Therapist in Ridgefield, WA