Shilo Marie Mckenzie, CNMNP is a medicare enrolled "Midwife" in Gold Beach, Oregon. Her current practice location is
29135 Ellensburg Ave, Gold Beach, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 425-5311.
Shilo Marie Mckenzie is licensed to practice in Oregon (license number 200950160NP NMNP-PP) 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 1912235516.
Provider's Profile
| Full Name | Shilo Marie Mckenzie |
|---|
| Gender | Female |
|---|
| Speciality | Midwife |
|---|
| Location | 29135 Ellensburg Ave, Gold Beach, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1912235516
- Provider Enumeration Date: 11/20/2009
- Last Update Date: 04/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 3476695669
- Enrollment ID: I20100127000061
Medical Identifiers
Medical identifiers for Shilo Marie Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912235516 | NPI | - | NPPES |
| 500614877 | Medicaid | OR | |
| 1487696985 | Other | | CURRY GENERAL HOSPITAL NPI |
| R179539 | Other | OR | BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH, LLC PTAN |
| 1386069326 | Other | OR | BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 200950160NP NMNP-PP (Oregon) | Secondary |
| 176B00000X | Midwife | 200950160NP NMNP-PP (Oregon) | 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. Shilo Marie Mckenzie allows following entities to bill medicare on her behalf.
| Entity Name | Bandon Community Health Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1033348289
PECOS PAC ID: 1557416757
Enrollment ID: O20100430000431 |
|---|
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. Shilo Marie Mckenzie 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 |
|---|
Shilo Marie Mckenzie, CNMNP
Po Box 1710,
Gold Beach, OR 97444-1710
Ph: (541) 425-5311 | Shilo Marie Mckenzie, CNMNP
29135 Ellensburg Ave,
Gold Beach, OR 97444-8722
Ph: (541) 425-5311 |
Reviews and Comments