Mackenzie Boon, PHD, LP | |
3230 W Wildwood Dr, Grand Island, NE 68801-9609 | |
(308) 381-8851 | |
(308) 381-8853 |
Full Name | Mackenzie Boon |
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Gender | Female |
Speciality | Psychologist |
Location | 3230 W Wildwood Dr, Grand Island, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518397033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1048 (Nebraska) | Primary |
Entity Name | Father Flanagans Boys Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
Mailing Address | Practice Location Address |
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Mackenzie Boon, PHD, LP 2931 E Biddle St, Baltimore, MD 21213-3939 Ph: (443) 923-1872 | Mackenzie Boon, PHD, LP 3230 W Wildwood Dr, Grand Island, NE 68801-9609 Ph: (308) 381-8851 |
Eric Francis Schmidt, PMHP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 N Elm St, Grand Island, NE 68801 Phone: 308-395-1046 | |
Dr. Jeremy Morton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660 | |
Christopher Flora-tostado, PHD, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-389-5134 | |
Mrs. Elizabeth Ann Heidt Kozisek, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1932 Aspen Circle, Suite J, Grand Island, NE 68802 Phone: 308-379-1949 | |
Jennifer Norie Moniz Tevlin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-389-5134 | |
Lisa G. Buchta, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 908 N Howard Ave Ste 102, Grand Island, NE 68803 Phone: 083-986-0503 Fax: 308-398-6051 |