Megan Lee Mace, PA-C, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" in South Bend, Indiana. Her current practice location is
53880 Carmichael Dr, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 247-9441.
Megan Lee Mace 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 1518496280.
Provider's Profile
Full Name | Megan Lee Mace |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 53880 Carmichael Dr, South Bend, Indiana |
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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: 1518496280
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173981156
- Enrollment ID: I20230623000443
Medical Identifiers
Medical identifiers for Megan Lee Mace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518496280 | NPI | - | NPPES |
10003718A | Other | IN | IPLA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1003718A (Indiana) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Primary |
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. Megan Lee Mace 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 |
Megan Lee Mace, PA-C, ATC 54275 Forest Grove Ave, Elkhart, IN 46514-4847 Ph: () - | Megan Lee Mace, PA-C, ATC 53880 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441 |
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