Mackenzie Moore, PA-C in Danville, PA - Medicare Physician Assistant

Mackenzie Moore, PA-C is a medicare enrolled "Physician Assistant" physician in Danville, Pennsylvania. Her current practice location is 100 N Academy Ave, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 271-6211.

Mackenzie Moore is licensed to practice in Pennsylvania (license number MA064615) 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 1679252399.

Contact Information

	Mackenzie Moore, PA-C
	100 N Academy Ave, Danville, PA 17822-0001
	(570) 271-6211
	Not Available

Physician's Profile

Full Name	Mackenzie Moore
Gender	Female
Speciality	Physician Assistant
Location	100 N Academy Ave, Danville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679252399
Provider Enumeration Date: 07/12/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2769837384
Enrollment ID: I20231017000677

Medical Identifiers

Medical identifiers for Mackenzie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679252399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MA064615 (Pennsylvania)	Secondary
363A00000X	Physician Assistant	MA064615 (Pennsylvania)	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. Mackenzie Moore 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
Mackenzie Moore, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Mackenzie Moore, PA-C 100 N Academy Ave, Danville, PA 17822-0001 Ph: (570) 271-6211

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Mackenzie Moore, PA-C - Medicare Physician Assistant in Danville, PA