| Dr Mackenzie Lee Goodwin, MD | |
|
Mackenzie Goodwin Md Dba Wasatch Surgical Llc, 520 Medical Dr Ste 300, Bountiful, UT 84010 | |
| (228) 273-9021 | |
| Not Available |
| Full Name | Dr Mackenzie Lee Goodwin |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | Mackenzie Goodwin Md Dba Wasatch Surgical Llc, Bountiful, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942569231 | NPI | - | NPPES |
| 11768709-1205 | Other | UT | LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Timpanogos Regional Hospital | Orem, UT | Hospital |
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pediatrix Medical Group Inc | 2567634587 | 4 |
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Pediatrix Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730265919 PECOS PAC ID: 2567634587 Enrollment ID: O20190619000643 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mackenzie Lee Goodwin, MD 1893 E Millbrook Rd, Salt Lake City, UT 84106-3827 Ph: (228) 273-9021 | Dr Mackenzie Lee Goodwin, MD Mackenzie Goodwin Md Dba Wasatch Surgical Llc, 520 Medical Dr Ste 300, Bountiful, UT 84010 Ph: (228) 273-9021 |
Dr. Kevin N Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 Medical Dr, Ste 101, Bountiful, UT 84010 Phone: 801-298-9409 Fax: 801-292-1271 | |
Dr. Larry A Sargent, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-6554 Fax: 801-294-4983 | |
Russell H Todd, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 Medical Dr Ste 150, Bountiful, UT 84010 Phone: 801-298-3247 Fax: 801-298-9675 |