Kyle Mackinnon, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Boston, Massachusetts. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mass General Brigham Medical Group Suburban Massachusetts Inc and his current practice location is
360 Huntington Ave, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 875-2341.
Kyle Mackinnon is licensed to practice in * (Not Available) (license number ) 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 1306518618.
Provider's Profile
| Full Name | Kyle Mackinnon |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 360 Huntington Ave, Boston, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kyle Mackinnon graduated from nursing school in 2022
NPI Data:
- NPI Number: 1306518618
- Provider Enumeration Date: 10/05/2021
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971957887
- Enrollment ID: I20230927000106
Medical Identifiers
Medical identifiers for Kyle Mackinnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306518618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | 0244133494 | 389 |
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. Kyle 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 |
|---|
Kyle Mackinnon,
8 Green St,
Watertown, MA 02472-2352
Ph: () - | Kyle Mackinnon,
360 Huntington Ave,
Boston, MA 02115-5005
Ph: (978) 875-2341 |
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