Mackenzie Taylor Rice, is a medicare enrolled "Psychologist" provider in Fort Wayne, Indiana. Her current practice location is
6202 Constitution Dr Ste D, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 432-0066.
Mackenzie Taylor Rice is licensed to practice in Indiana (license number 20043940A) 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 1871019844.
Healthcare Provider's Profile
| Full Name | Mackenzie Taylor Rice |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 6202 Constitution Dr Ste D, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871019844
- Provider Enumeration Date: 08/21/2017
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668815861
- Enrollment ID: I20240205002387
Medical Identifiers
Medical identifiers for Mackenzie Taylor Rice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871019844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 39004077A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 20043940A (Indiana) | Primary |
| 103TH0100X | Psychologist - Health Service | 20043940B (Indiana) | Secondary |
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. Mackenzie Taylor Rice allows following entities to bill medicare on her behalf.
| Entity Name | Lifeworks Counseling & Consulting, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184886541 PECOS PAC ID: 6204986573 Enrollment ID: O20090608000291 |
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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. Mackenzie Taylor Rice 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 Taylor Rice, 6202 Constitution Dr Ste D, Fort Wayne, IN 46804-1583 Ph: () - | Mackenzie Taylor Rice, 6202 Constitution Dr Ste D, Fort Wayne, IN 46804-1583 Ph: (260) 432-0066 |
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