Kim C Mackey, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Windham, New Hampshire. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Centracare Clinic, Obhg Washington Pc and his current practice location is
22 Roulston Rd, Windham, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(608) 575-4519.
Kim C Mackey is licensed to practice in Wisconsin (license number 43887) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285603431.
Physician's Profile
| Full Name | Kim C Mackey |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 30 Years |
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| Location | 22 Roulston Rd, Windham, New Hampshire |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kim C Mackey graduated from medical school in 1995
NPI Data:
- NPI Number: 1285603431
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 10/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981598604
- Enrollment ID: I20241004000383
Medical Identifiers
Medical identifiers for Kim C Mackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285603431 | NPI | - | NPPES |
| 1285603431 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | MD61604924 (Washington) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD61604924 (Washington) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 43887 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centracare Clinic | 2466363395 | 701 |
| Obhg Washington Pc | 0345364642 | 8 |
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. Kim C Mackey allows following entities to bill medicare on his behalf.
| Entity Name | Centracare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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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. Kim C Mackey 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 |
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Kim C Mackey, MD
1700 Tuttle St,
Baraboo, WI 53913-3319
Ph: (608) 355-3800 | Kim C Mackey, MD
22 Roulston Rd,
Windham, NH 03087-1209
Ph: (608) 575-4519 |
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