Mackenzie Dougherty, RD, CD in Saint Paul, MN - Medicare Dietitian, Registered Provider

Mackenzie Dougherty, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Saint Paul, Minnesota. Her current practice location is 2265 Como Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 645-5323.

Mackenzie Dougherty is licensed to practice in Minnesota (license number 3882) 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 1053612283.

Contact Information

	Mackenzie Dougherty, RD, CD
	2265 Como Ave, Saint Paul, MN 55108-1737
	(651) 645-5323
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Dougherty
Gender	Female
Speciality	Dietitian, Registered
Location	2265 Como Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053612283
Provider Enumeration Date: 11/04/2010
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9436335056
Enrollment ID: I20180418001422

Medical Identifiers

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

Identifier	Type	State	Issuer
1053612283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	3882 (Minnesota)	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. Mackenzie Dougherty allows following entities to bill medicare on her behalf.

Provider Name	University Of Minnesota Physicians
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Provider Name	Emily Program Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014

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 Dougherty 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 Dougherty, RD, CD 2265 Como Ave, Saint Paul, MN 55108-1737 Ph: () -	Mackenzie Dougherty, RD, CD 2265 Como Ave, Saint Paul, MN 55108-1737 Ph: (651) 645-5323

Reviews and Comments

Dietitian, Registered in Saint Paul, MN

Christina Yokanovich, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3249
Stefanie Kaitlyn Jensen, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 888-364-5977
Azzairia Jackson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2081 Village Ln Apt B5, Saint Paul, MN 55116 Phone: 612-735-1669
Tyann Zeal, R.D., L.D. Dietitian Medicare: Medicare Enrolled Practice Location: 2550 University Ave W, Saint Paul, MN 55114 Phone: 952-993-6200
Stephanie K Campbell, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-229-3933
Deanna Miller, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5323 Fax: 651-647-5135
Lindsey Stiyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5323 Fax: 561-379-6141

Mackenzie Dougherty, RD, CD - Medicare Dietitian in Saint Paul, MN