Ethan Laghi Mackenzie, MD in Madison, WI - Medicare Plastic Surgery

Ethan Laghi Mackenzie, MD is a medicare enrolled "Plastic Surgery" physician in Madison, Wisconsin. His current practice location is 600 Highland Ave, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 263-8090.

Ethan Laghi Mackenzie is licensed to practice in Wisconsin (license number 73015-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710478573.

Contact Information

	Ethan Laghi Mackenzie, MD
	600 Highland Ave, Madison, WI 53792-3153
	(608) 263-8090
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Laghi Mackenzie
Gender	Male
Speciality	Plastic Surgery
Location	600 Highland Ave, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710478573
Provider Enumeration Date: 05/28/2018
Last Update Date: 08/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3577810464
Enrollment ID: I20240614000542

Medical Identifiers

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

Identifier	Type	State	Issuer
1710478573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	35.150824 (Ohio)	Secondary
208200000X	Plastic Surgery	73015-20 (Wisconsin)	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. Ethan Laghi Mackenzie allows following entities to bill medicare on his behalf.

Entity Name	Osu Plastic Surgery, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346533734 PECOS PAC ID: 2961677679 Enrollment ID: O20111208000164

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. Ethan Laghi 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
Ethan Laghi Mackenzie, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Ethan Laghi Mackenzie, MD 600 Highland Ave, Madison, WI 53792-3153 Ph: (608) 263-8090

Reviews and Comments

Plastic Surgery Doctors in Madison, WI

Dr. Daniel Youngwhan Cho, MD, PHD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8090
John Weston Siebert, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 Fax: 608-265-9695
Okensama La-anyane, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-0572
John F Noon, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 S Park St, Suite 360, Madison, WI 53715 Phone: 608-257-2208
Stephen A. Bernsten, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 S Park St, #360, Madison, WI 53715 Phone: 608-257-2208
Dr. Katherine Dawn Reuter Munoz, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400
Dr. Amorn Neil Salyapongse, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 S Park St, Division Of Hand Surgery, Madison, WI 53715 Phone: 608-287-2700 Fax: 608-287-2722

Ethan Laghi Mackenzie, MD - Medicare Plastic Surgery in Madison, WI