Mackenzie Carroll, DO is a medicare enrolled "Family Medicine" physician in Middlesboro, Kentucky. Her current practice location is
1530 Us Highway 25 E, Middlesboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 654-9450.
Mackenzie Carroll is licensed to practice in Kentucky (license number 06091) 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 1982333704.
Physician's Profile
Full Name | Mackenzie Carroll |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1530 Us Highway 25 E, Middlesboro, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982333704
- Provider Enumeration Date: 06/07/2022
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749661379
- Enrollment ID: I20220713004100
Medical Identifiers
Medical identifiers for Mackenzie Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982333704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 06091 (Kentucky) | Primary |
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. Mackenzie Carroll 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 |
Mackenzie Carroll, DO Po Box 40, Whitesburg, KY 41858-0040 Ph: (606) 633-4823 | Mackenzie Carroll, DO 1530 Us Highway 25 E, Middlesboro, KY 40965-1861 Ph: (606) 654-9450 |
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