| Dr Keith Andrew Mackenzie, DO | |
|
3190 Clearwater Dr, Prescott, AZ 86305-7131 | |
| (928) 541-1312 | |
| (928) 541-0002 |
| Full Name | Dr Keith Andrew Mackenzie |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 34 Years |
| Location | 3190 Clearwater Dr, Prescott, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861498297 | NPI | - | NPPES |
| 390766 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 3225 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keith A Mackenzie Do Pc | 1759431539 | 4 |
| Entity Name | Keith A Mackenzie Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396971958 PECOS PAC ID: 1759431539 Enrollment ID: O20090617000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Andrew Mackenzie, DO Po Box 11208, Prescott, AZ 86304-1208 Ph: (928) 541-1312 | Dr Keith Andrew Mackenzie, DO 3190 Clearwater Dr, Prescott, AZ 86305-7131 Ph: (928) 541-1312 |
Dr. Joseph S Machuzak, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 3101 Clearwater Dr Ste C, Prescott, AZ 86305 Phone: 928-202-4143 Fax: 928-233-8917 | |
Dr. Richard Allen Cirelli, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 955 Black Dr, Prescott, AZ 86305 Phone: 928-445-7546 Fax: 928-445-7598 | |
Charles H Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Ainsworth Drive, Prescott, AZ 86301 Phone: 928-776-0325 Fax: 928-776-0405 | |
Dr. Patricia I Ceballos, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-777-5800 Fax: 928-776-0405 | |
Kirsten Flynn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-777-5800 Fax: 928-776-0405 | |
Robin M Fleck, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 242 Whipple Street, Prescott, AZ 86301 Phone: 928-778-0808 Fax: 928-778-4788 | |
Ray W. Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-777-5800 Fax: 928-776-0405 |