Ellen Rae Mackinnon, CNS-NP is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Driggs, Idaho. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Advanced Physical Therapy And Wound Center, Pllc and her current practice location is
120 E Howard St, Driggs, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 354-6354.
Ellen Rae Mackinnon is licensed to practice in Colorado (license number APN992817) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861936049.
Provider's Profile
| Full Name | Ellen Rae Mackinnon |
|---|
| Gender | Female |
|---|
| Speciality | Certified Clinical Nurse Specialist (cns) |
|---|
| Experience | 9 Years |
|---|
| Location | 120 E Howard St, Driggs, Idaho |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ellen Rae Mackinnon graduated from nursing school in 2016
NPI Data:
- NPI Number: 1861936049
- Provider Enumeration Date: 12/07/2016
- Last Update Date: 07/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426332065
- Enrollment ID: I20220322003153
Medical Identifiers
Medical identifiers for Ellen Rae Mackinnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861936049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | APN992817 (Colorado) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | APN992817 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Physical Therapy And Wound Center, Pllc | 2567684640 | 5 |
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. Ellen Rae Mackinnon allows following entities to bill medicare on her behalf.
| Entity Name | Teton Valley Health Care Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013264183
PECOS PAC ID: 3870744956
Enrollment ID: O20121128000587 |
|---|
| Entity Name | Advanced Physical Therapy & Wound Center, Pllc |
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Entity Identifiers | NPI Number: 1356754147
PECOS PAC ID: 2567684640
Enrollment ID: O20141104002506 |
|---|
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. Ellen Rae Mackinnon 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 |
|---|
Ellen Rae Mackinnon, CNS-NP
120 E Howard St,
Driggs, ID 83422-5112
Ph: (208) 354-6354 | Ellen Rae Mackinnon, CNS-NP
120 E Howard St,
Driggs, ID 83422-5112
Ph: (208) 354-6354 |
Reviews and Comments