Mr Glen Carlisle Mackenzie, MD in Manchester Center, VT

Mr Glen Carlisle Mackenzie, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Manchester Center, Vermont. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is 1009 Depot St, Manchester Center, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 442-8649.

Mr Glen Carlisle Mackenzie is licensed to practice in Vermont (license number 0420009174) 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 1306926704.

Contact Information

	Mr Glen Carlisle Mackenzie, MD
	1009 Depot St, Manchester Center, VT 05255-9731
	(802) 442-8649
	(802) 442-8658

Map and Direction

Physician's Profile

Full Name	Mr Glen Carlisle Mackenzie
Gender	Male
Speciality	Obstetrics/gynecology
Experience	33 Years
Location	1009 Depot St, Manchester Center, Vermont
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Glen Carlisle Mackenzie attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1991

NPI Data:

NPI Number: 1306926704
Provider Enumeration Date: 10/17/2006
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5597669473
Enrollment ID: I20050906000303

Medical Identifiers

Medical identifiers for Mr Glen Carlisle Mackenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306926704	NPI	-	NPPES
OVN1210	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	0420009174 (Vermont)	Secondary
207VG0400X	Obstetrics & Gynecology - Gynecology	0420009174 (Vermont)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southwestern Vermont Medical Center	Bennington, VT	Hospital
Rutland Regional Medical Center	Rutland, VT	Hospital

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. Mr Glen Carlisle Mackenzie allows following entities to bill medicare on his behalf.

Entity Name	Glen Mackenzie Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467806067 PECOS PAC ID: 7517256001 Enrollment ID: O20160524000083

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. Mr Glen Carlisle 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
Mr Glen Carlisle Mackenzie, MD 1009 Depot St, Manchester Center, VT 05255-9731 Ph: (802) 442-8649	Mr Glen Carlisle Mackenzie, MD 1009 Depot St, Manchester Center, VT 05255-9731 Ph: (802) 442-8649

Mr Glen Carlisle Mackenzie, MD - Medicare Obstetrics/gynecology in Manchester Center, VT