Mackenzie Shae Liedel Jones, is a medicare enrolled "Advanced Practice Midwife" in Sevierville, Tennessee. Her current practice location is
740 Middle Creek Rd Ste 200, Sevierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 908-9888.
Mackenzie Shae Liedel Jones is licensed to practice in * (Not Available) (license number ) 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 1114748894.
Provider's Profile
Full Name | Mackenzie Shae Liedel Jones |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 740 Middle Creek Rd Ste 200, Sevierville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114748894
- Provider Enumeration Date: 10/24/2024
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729515523
- Enrollment ID: I20241218000114
Medical Identifiers
Medical identifiers for Mackenzie Shae Liedel Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114748894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 37423 (Tennessee) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Mackenzie Shae Liedel Jones allows following entities to bill medicare on her behalf.
Entity Name | Fort Sanders Perinatal Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003811381 PECOS PAC ID: 3577505536 Enrollment ID: O20050614001362 |
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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. Mackenzie Shae Liedel Jones 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 Shae Liedel Jones, 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 Ph: (865) 908-9888 | Mackenzie Shae Liedel Jones, 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 Ph: (865) 908-9888 |
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