| Donna Jane Mackay, MD, PHD | |
| 
					21 Industrial Blvd Ste 101, Paoli, PA 19301-1610  | |
| (610) 647-4161 | |
| (610) 647-5397 | 
| Full Name | Donna Jane Mackay | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology - Procedural Dermatology | 
| Location | 21 Industrial Blvd Ste 101, Paoli, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942395116 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | MD021206E (Pennsylvania) | Primary | 
| Entity Name | Aesthetic Dermatology Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003845835 PECOS PAC ID: 2466438148 Enrollment ID: O20040624001174  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Donna Jane Mackay, MD, PHD 21 Industrial Blvd Ste 101, Paoli, PA 19301-1610 Ph: (610) 647-4161  | Donna Jane Mackay, MD, PHD 21 Industrial Blvd Ste 101, Paoli, PA 19301-1610 Ph: (610) 647-4161  | 
Shelley Sue Schuler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 21 Industrial Blvd Ste 101, Paoli, PA 19301 Phone: 610-647-4161 Fax: 610-647-5397  | |
Dr. Maria Madelyn Hannaway, MD Dermatology Medicare: Medicare Enrolled Practice Location: 21 Industrial Blvd Ste 101, Paoli, PA 19301 Phone: 610-647-4161  | |
James J Ko, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4 Industrial Blvd Suite 200, Paoli, PA 19301 Phone: 610-566-7111  |