Ellen Rae Mackinnon, CNS-NP is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Driggs, Idaho. 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 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 1861936049.
Provider's Profile
| Full Name | Ellen Rae Mackinnon |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Acute Care |
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| Location | 120 E Howard St, Driggs, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
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| 1861936049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | APN992817 (Colorado) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | APN992817 (Colorado) | 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. Ellen Rae Mackinnon allows following entities to bill medicare on her behalf.
| Entity Name | Teton Valley Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013264183
PECOS PAC ID: 3870744956
Enrollment ID: O20121128000587 |
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| Entity Name | Advanced Physical Therapy & Wound Center, Pllc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1356754147
PECOS PAC ID: 2567684640
Enrollment ID: O20141104002506 |
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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. 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 |
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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 |
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