Mackenzie Brooke Pung, in Grand Rapids, MI - Medicare Nurse Practitioner

Mackenzie Brooke Pung, is a medicare enrolled "Nurse Practitioner - Acute Care" in Grand Rapids, Michigan. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Impg Pllc and her current practice location is 770 Kenmoor Ave Se Ste 100, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 259-3533.

Mackenzie Brooke Pung is licensed to practice in Michigan (license number 4704351413) 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 1376320424.

Contact Information

	Mackenzie Brooke Pung,
	770 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-8602
	(616) 259-3533
	(616) 259-4839

Map and Direction

Provider's Profile

Full Name	Mackenzie Brooke Pung
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	770 Kenmoor Ave Se Ste 100, Grand Rapids, Michigan
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:

Mackenzie Brooke Pung graduated from nursing school in 2022

NPI Data:

NPI Number: 1376320424
Provider Enumeration Date: 09/12/2023
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0749639763
Enrollment ID: I20231215000172

Medical Identifiers

Medical identifiers for Mackenzie Brooke Pung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376320424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704351413 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Providence Hospital, Southfield And Novi	Southfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Impg Pllc	2567723885	4

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 Brooke Pung allows following entities to bill medicare on her behalf.

Entity Name	Impg Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629848957 PECOS PAC ID: 2567723885 Enrollment ID: O20180301002396

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

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 Brooke Pung 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
Mackenzie Brooke Pung, 801 Rosehill Rd, Jackson, MI 49202-1762 Ph: (517) 212-2008	Mackenzie Brooke Pung, 770 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-8602 Ph: (616) 259-3533

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine E. Kunnen, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 36th St Se, Grand Rapids, MI 49512 Phone: 616-942-2110 Fax: 616-942-9548
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Ms. Marissa Claire Niemeyer, MSN, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503 Phone: 616-391-9945
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610

Mackenzie Brooke Pung, - Medicare Nurse Practitioner in Grand Rapids, MI