Makenzie Harman Mathers, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Virginia Beach, Virginia. Her current practice location is
1024 First Colonial Rd, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 395-2500.
Makenzie Harman Mathers is licensed to practice in Virginia (license number 0024192494) 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 1104630227.
Physician's Profile
| Full Name | Makenzie Harman Mathers |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1024 First Colonial Rd, Virginia Beach, Virginia |
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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: 1104630227
- Provider Enumeration Date: 02/07/2025
- Last Update Date: 04/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911417217
- Enrollment ID: I20250606000607
Medical Identifiers
Medical identifiers for Makenzie Harman Mathers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104630227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 24192494 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024192494 (Virginia) | 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. Makenzie Harman Mathers allows following entities to bill medicare on her behalf.
| Entity Name | Sentara Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
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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. Makenzie Harman Mathers 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 |
Makenzie Harman Mathers, FNP-C 1024 First Colonial Rd Ste 102, Virginia Beach, VA 23454-3074 Ph: (757) 395-2500 | Makenzie Harman Mathers, FNP-C 1024 First Colonial Rd, Virginia Beach, VA 23454-3074 Ph: (757) 395-2500 |
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