Mackenzie Anne Mccrorey, PA-C - Medicare Physician Assistant in Portland, OR

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Mackenzie Anne Mccrorey, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Portland, Oregon. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Legacy Clinics Llc and her current practice location is 10000 Se Main St Ste 365, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 261-4430.

Mackenzie Anne Mccrorey is licensed to practice in Oregon (license number PA195380) 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 1023271632.

Contact Information

Mackenzie Anne Mccrorey, PA-C
10000 Se Main St Ste 365,
Portland, OR 97216-2474
(503) 261-4430
(503) 261-4436

Map and Direction




Provider's Profile

Full NameMackenzie Anne Mccrorey
GenderFemale
SpecialityPhysician Assistant
Experience18 Years
Location10000 Se Main St Ste 365, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mackenzie Anne Mccrorey graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1023271632
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426105339
  • Enrollment ID: I20200320001476

Medical Identifiers

Medical identifiers for Mackenzie Anne Mccrorey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023271632NPI-NPPES
P01216933OtherILMEDICARE RAILROAD (PROVIDER PTAN)
206147OtherILMEDICARE (GROUP PTAN)
206147235OtherILMEDICARE (INDIVIDUAL)
CA4748OtherILMEDICARE RAILROAD (GROUP PTAN)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085003524 (Illinois)Secondary
363AS0400XPhysician Assistant - Surgical 085003524 (Illinois)Secondary
363AS0400XPhysician Assistant - Surgical PA195380 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Emanuel Medical CenterPortland, ORHospital
Legacy Good Samaritan Medical CenterPortland, ORHospital
Legacy Meridian Park Medical CenterTualatin, ORHospital
Legacy Salmon Creek Medical CenterVancouver, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004714

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. Mackenzie Anne Mccrorey allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215910302
PECOS PAC ID: 7012827876
Enrollment ID: O20040226000131
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750091021
PECOS PAC ID: 3274908819
Enrollment ID: O20230412001327

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. Mackenzie Anne Mccrorey 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 AddressPractice Location Address
Mackenzie Anne Mccrorey, PA-C
852 Se 59th Ave,
Portland, OR 97215-2001

Ph: (312) 925-5903		Mackenzie Anne Mccrorey, PA-C
10000 Se Main St Ste 365,
Portland, OR 97216-2474

Ph: (503) 261-4430

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.