Dr Bonnie Suzanne Mackenzie, MD in New London, CT

Dr Bonnie Suzanne Mackenzie, MD is a medicare enrolled "Pediatrics" physician in New London, Connecticut. Her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Dr Bonnie Suzanne Mackenzie is licensed to practice in Rhode Island (license number MD13276) 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 1275790958.

Contact Information

	Dr Bonnie Suzanne Mackenzie, MD
	365 Montauk Ave, New London, CT 06320-4700
	(860) 442-0711
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bonnie Suzanne Mackenzie
Gender	Female
Speciality	Pediatrics
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275790958
Provider Enumeration Date: 05/20/2008
Last Update Date: 07/09/2013

Medicare PECOS Information:

PECOS PAC ID: 5597950048
Enrollment ID: I20130813000333

Medical Identifiers

Medical identifiers for Dr Bonnie Suzanne Mackenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275790958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	247472 (New York)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD13276 (Rhode Island)	Secondary
208000000X	Pediatrics	MD13276 (Rhode Island)	Primary
207P00000X	Emergency Medicine	52132 (Connecticut)	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. Dr Bonnie Suzanne Mackenzie allows following entities to bill medicare on her behalf.

Entity Name	Lawrence And Memorial Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142

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 Bonnie Suzanne Mackenzie 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 Bonnie Suzanne Mackenzie, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: () -	Dr Bonnie Suzanne Mackenzie, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Pediatrics Doctors in New London, CT

Dr. Amr Ahmed Elmeki, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-422-0711
James William Pellegrini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5151
Brett V Citarella, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4740
Owen Ehrlich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011
Bernard A. Giserman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011
Ruth M. Lebovitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011

Dr Bonnie Suzanne Mackenzie, MD - Medicare Pediatrics in New London, CT