Mackenzie Shallenberger, PA is a medicare enrolled "Physician Assistant" in Pittsfield, Illinois. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Blessingcare Corporation and her current practice location is
640 W Washington St, Pittsfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 285-2113.
Mackenzie Shallenberger is licensed to practice in Illinois (license number 085-004155) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1942573001.
Provider's Profile
| Full Name | Mackenzie Shallenberger |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 15 Years |
|---|
| Location | 640 W Washington St, Pittsfield, Illinois |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mackenzie Shallenberger graduated from nursing school in 2011
NPI Data:
- NPI Number: 1942573001
- Provider Enumeration Date: 02/20/2012
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840446845
- Enrollment ID: I20120807000571
Medical Identifiers
Medical identifiers for Mackenzie Shallenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942573001 | NPI | - | NPPES |
| 1101093 | Other | IL | NCCPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 085-004155 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blessingcare Corporation | 2769420959 | 13 |
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 Shallenberger 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 Shallenberger, PA
2650 Warrenville Rd, Ste. 280,
Downers Grove, IL 60515-1748
Ph: (630) 324-7900 | Mackenzie Shallenberger, PA
640 W Washington St,
Pittsfield, IL 62363-1350
Ph: (217) 285-2113 |
Reviews and Comments