Dr Ryan Thomas Mackey, DPM is a
Podiatrist based in Waupun, Wisconsin. Dr Ryan Thomas Mackey is licensed to practice in Colorado (license number POD-0000708) and his current practice location is
1001 W Main St, Waupun, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 361-3063.
NPI number for Dr Ryan Thomas Mackey is 1295982668 and his current mailing address is 1001 W Main St, Waupun, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295982668.
Healthcare Provider's Profile
| Full Name | Dr Ryan Thomas Mackey |
|---|
| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 1001 W Main St, Waupun, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295982668
- Provider Enumeration Date: 08/27/2008
- Last Update Date: 12/09/2016
Medical Identifiers
Medical identifiers for Dr Ryan Thomas Mackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295982668 | NPI | - | NPPES |
| P01735659 | Other | CO | RAILROAD MEDICARE |
| 305219302 | Medicaid | TX | |
| P01736047 | Other | TX | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | POD-0000708 (Colorado) | 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. Dr Ryan Thomas Mackey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ryan Thomas Mackey, DPM
1001 W Main St,
Waupun, WI 53963-1601
Ph: (920) 324-9301 | Dr Ryan Thomas Mackey, DPM
1001 W Main St,
Waupun, WI 53963-1601
Ph: (920) 361-3063 |
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