Dr Kenyatta Mack-gates, DDS in Middletown, NY

Dr Kenyatta Mack-gates, DDS is a medicare enrolled "Dentist" provider in Middletown, New York. Her current practice location is 61 Orange Plaza Ln, Middletown, New York. You can reach out to her office (for appointments etc.) via phone at (845) 344-3844.

Dr Kenyatta Mack-gates is licensed to practice in New York (license number 048566) 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 1023007374.

Contact Information

	Dr Kenyatta Mack-gates, DDS
	61 Orange Plaza Ln, Middletown, NY 10940-2254
	(845) 344-3844
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenyatta Mack-gates
Gender	Female
Speciality	Dentist
Location	61 Orange Plaza Ln, Middletown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023007374
Provider Enumeration Date: 10/19/2005
Last Update Date: 07/31/2013

Medicare PECOS Information:

PECOS PAC ID: 0840575247
Enrollment ID: I20170328000169

Medical Identifiers

Medical identifiers for Dr Kenyatta Mack-gates such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023007374	NPI	-	NPPES
02213830	Medicaid	NY
001746900	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12933 (Maryland)	Secondary
1223G0001X	Dentist - General Practice	0401411320 (Virginia)	Secondary
122300000X	Dentist	048566 (New York)	Primary

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. Dr Kenyatta Mack-gates allows following entities to bill medicare on her behalf.

Entity Name	Syracuse Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443

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 Kenyatta Mack-gates 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
Dr Kenyatta Mack-gates, DDS 61 Orange Plaza Ln, Middletown, NY 10940-2254 Ph: () -	Dr Kenyatta Mack-gates, DDS 61 Orange Plaza Ln, Middletown, NY 10940-2254 Ph: (845) 344-3844

Reviews and Comments

Dentist in Middletown, NY

Ira Howard Elman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Grove St, Middletown, NY 10940 Phone: 845-342-2178 Fax: 845-342-6404
Dr. Ellen J Solomon, Dentist Medicare: Medicare Enrolled Practice Location: 66 Eisenhower Drive, Middletown, NY 10940 Phone: 845-343-3239 Fax: 845-342-2899
Dr. Stephen Jan Horowitz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 Dolson Avenue, Suite 202, Middletown, NY 10940 Phone: 845-343-1486 Fax: 848-343-2357
Dr. Mark M. Dawoud, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 75 Dolson Ave, Middletown, NY 10940 Phone: 845-325-8635
Dr. Sarthak Nayyar, Dentist Medicare: Not Enrolled in Medicare Practice Location: 127 E Main St # 131, Middletown, NY 10940 Phone: 845-415-8256 Fax: 845-245-2114
Dr. Bruce Weiner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 594 E Main St, Middletown, NY 10940 Phone: 845-342-2125

Dr Kenyatta Mack-gates, DDS - Medicare Dentist in Middletown, NY