| Sean P Mackenzie, MD | |
|
324 Roxbury Rd, Rockford, IL 61107-5090 | |
| (815) 398-9491 | |
| (815) 381-7498 |
| Full Name | Sean P Mackenzie |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 31 Years |
| Location | 324 Roxbury Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063527349 | NPI | - | NPPES |
| 036-111320 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036-111320 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divine Savior Healthcare | Portage, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean P Mackenzie, MD Box 78534, Milwaukee, WI 53278 Ph: (815) 398-9491 | Sean P Mackenzie, MD 324 Roxbury Rd, Rockford, IL 61107-5090 Ph: (815) 398-9491 |
Pirojna Jantra, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2825 Glenwood Ave, Rockford, IL 61101 Phone: 815-965-9712 | |
Ryan C Enke, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 | |
Dr. Kumud Nigam, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6957 Olde Creek Rd, Suite #3400, Rockford, IL 61114 Phone: 815-397-6276 Fax: 815-397-2266 | |
Dr. Zeeshan Ahmad, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Mrs. Christine M Pedersen, MSPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6905 E State St, Rockford, IL 61108 Phone: 815-397-4142 Fax: 815-397-4144 | |
Carly Renee Ditto, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 815-540-6299 |