Mrs Mackenzi Eberly, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Shallowater, Texas. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brian Carreon Md Pa and her current practice location is
1502 12th St Ste A, Shallowater, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 832-4566.
Mrs Mackenzi Eberly is licensed to practice in Texas (license number AP128324) 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 1598146433.
Provider's Profile
| Full Name | Mrs Mackenzi Eberly |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1502 12th St Ste A, Shallowater, Texas |
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| 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:
- Mrs Mackenzi Eberly graduated from nursing school in 2015
NPI Data:
- NPI Number: 1598146433
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032486634
- Enrollment ID: I20170602001183
Medical Identifiers
Medical identifiers for Mrs Mackenzi Eberly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598146433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | AP128324 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Brian Carreon Md Pa | 8628496460 | 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. Mrs Mackenzi Eberly allows following entities to bill medicare on her behalf.
| Entity Name | Brian Carreon Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245843051 PECOS PAC ID: 8628496460 Enrollment ID: O20200910003529 |
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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. Mrs Mackenzi Eberly 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 |
Mrs Mackenzi Eberly, FNP-C Po Box 2088, Shallowater, TX 79363-2088 Ph: (806) 832-4566 | Mrs Mackenzi Eberly, FNP-C 1502 12th St Ste A, Shallowater, TX 79363-5651 Ph: (806) 832-4566 |
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