Mckenzie R Youngblood, PA-C - Medicare Physician Assistant in Alton, IL

Mckenzie R Youngblood, PA-C is a medicare enrolled "Physician Assistant" in Alton, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is 4 Memorial Dr Ste 130, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-7600.

Mckenzie R Youngblood is licensed to practice in Illinois (license number 085008385) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063010924.

Contact Information

Mckenzie R Youngblood, PA-C
4 Memorial Dr Ste 130,
Alton, IL 62002-6704
(618) 463-7600
Not Available



Provider's Profile

Full NameMckenzie R Youngblood
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location4 Memorial Dr Ste 130, Alton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mckenzie R Youngblood graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1063010924
  • Provider Enumeration Date: 10/13/2020
  • Last Update Date: 09/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567876865
  • Enrollment ID: I20220920000276

Medical Identifiers

Medical identifiers for Mckenzie R Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063010924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085008385 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jersey Community HospitalJerseyville, ILHospital
Alton Memorial HospitalAlton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083342

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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. Mckenzie R Youngblood 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 AddressPractice Location Address
Mckenzie R Youngblood, PA-C
4 Memorial Dr Ste 130,
Alton, IL 62002-6704

Ph: (618) 463-7600
Mckenzie R Youngblood, PA-C
4 Memorial Dr Ste 130,
Alton, IL 62002-6704

Ph: (618) 463-7600

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Physician Assistant Nurses in Alton, IL

Michele D Brannan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002
Phone: 618-474-1723    
Alexandria Ruzicka, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4411 Alby Street, Alton, IL 62002
Phone: 618-474-8052    
Monika E Krupska-buckley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Saint Anthonys Way, 3rd Floor, Pain Management, Alton, IL 62002
Phone: 618-474-6318    
Casey A Newgent, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr, Ste 130b, Alton, IL 62002
Phone: 618-463-7600    Fax: 618-463-7601
Kate A Smith, MPAS
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2 Saint Anthonys Way, Suite 305, Alton, IL 62002
Phone: 618-465-9024    Fax: 618-462-6828
Donald W Lemoine Ii, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Drive, Ste 130b, Alton, IL 62002
Phone: 618-463-7600    Fax: 618-463-7601

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