Mackie A Snebold, DO is a
Family Medicine physician based in Johnsburg, Illinois. Mackie A Snebold is licensed to practice in Illinois (license number 036067812) and her current practice location is 3920 N Johnsburg Rd, Johnsburg, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 344-0088.
NPI number for Mackie A Snebold is 1063578854 and her current mailing address is 3920 N Johnsburg Rd, Johnsburg, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063578854.
Physician's Profile
| Full Name | Mackie A Snebold |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 3920 N Johnsburg Rd, Johnsburg, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063578854
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 02/12/2020
Medical Identifiers
Medical identifiers for Mackie A Snebold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063578854 | NPI | - | NPPES |
| 0360678124 | Medicaid | IL | |
| 05615148 | Other | IL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 036067812 (Illinois) | 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. Mackie A Snebold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mackie A Snebold, DO 3920 N Johnsburg Rd, Johnsburg, IL 60051-6320 Ph: (815) 344-0088 | Mackie A Snebold, DO 3920 N Johnsburg Rd, Johnsburg, IL 60051-6320 Ph: (815) 344-0088 |
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