Kyle Mackinnon, in Boston, MA - Medicare Physician Assistant

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 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cora Health Services Inc, 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.

Contact Information

	Kyle Mackinnon,
	360 Huntington Ave, Boston, MA 02115-5005
	(978) 875-2341
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Mackinnon
Gender	Male
Speciality	Physician Assistant
Experience	4 Years
Location	360 Huntington Ave, Boston, Massachusetts
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:

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
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

Facility Name	Location	Facility Type
Newton-wellesley Hospital	Newton, MA	Hospital
Massachusetts General Hospital	Boston, MA	Hospital
Brigham And Women's Hospital	Boston, MA	Hospital
Brigham And Women's Faulkner Hospital	Boston, MA	Hospital
Spaulding Rehabilitation Hospital	Charlestown, MA	Inpatient rehabilitation facility

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cora Health Services Inc	1759290992	1125
Mass General Brigham Medical Group Suburban Massachusetts Inc	0244133494	534

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. Kyle Mackinnon allows following entities to bill medicare on his behalf.

Entity Name	Mass General Brigham Medical Group Suburban Massachusetts Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538191218 PECOS PAC ID: 0244133494 Enrollment ID: O20040127001012

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: Not Available	Kyle Mackinnon, 360 Huntington Ave, Boston, MA 02115-5005 Ph: (978) 875-2341

Kyle Mackinnon, - Medicare Physician Assistant in Boston, MA