Ms Mackenzie Nicole Small, PT, DPT in Corvallis, OR - Medicare Physical Therapist Provider

Ms Mackenzie Nicole Small, PT, DPT is a medicare enrolled "Physical Therapist" provider in Corvallis, Oregon. Her current practice location is 815 Nw 9th St Ste 180, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 768-5157.

Ms Mackenzie Nicole Small is licensed to practice in Oregon (license number 62022) 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 1982142642.

Contact Information

	Ms Mackenzie Nicole Small, PT, DPT
	815 Nw 9th St Ste 180, Corvallis, OR 97330-6173
	(541) 768-5157
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mackenzie Nicole Small
Gender	Female
Speciality	Physical Therapist
Location	815 Nw 9th St Ste 180, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982142642
Provider Enumeration Date: 02/02/2017
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7113202870
Enrollment ID: I20170320000974

Medical Identifiers

Medical identifiers for Ms Mackenzie Nicole Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982142642	NPI	-	NPPES
500720322	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	62022 (Oregon)	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. Ms Mackenzie Nicole Small allows following entities to bill medicare on her behalf.

Provider Name	Good Samaritan Hospital Corvallis
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

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 Mackenzie Nicole Small 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 Mackenzie Nicole Small, PT, DPT Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Ms Mackenzie Nicole Small, PT, DPT 815 Nw 9th St Ste 180, Corvallis, OR 97330-6173 Ph: (541) 768-5157

Reviews and Comments

Physical Therapist in Corvallis, OR

Lori Mueller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Nw 9th St Ste 180, Corvallis, OR 97330 Phone: 541-768-5157
Mr. Paul Emerson Jaques, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2350 Nw Century Dr, Corvallis, OR 97330 Phone: 541-754-1265
Mollyann Hunt, BS, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2635 Nw Rolling Green Dr, Corvallis, OR 97330 Phone: 541-752-0545 Fax: 541-757-0545
Dr. Travis Michael Obermire, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 845 Sw 30th St, Corvallis, OR 97331 Phone: 541-768-7700
Samaritan Athletic Medicine Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Sw 30th Street, Corvallis, OR 97331 Phone: 541-768-7700 Fax: 541-768-9784
Cassie Ross, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1122 Ne 2nd St, Corvallis, OR 97330 Phone: 541-250-4525 Fax: 541-250-4570
Mr. Gary Michael Gray, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2350 Nw Century Dr, Suite 100, Corvallis, OR 97330 Phone: 541-754-1150

Ms Mackenzie Nicole Small, PT, DPT - Medicare Physical Therapist in Corvallis, OR