Mackenzie Ann Waggoner, PT in Lebanon, TN - Medicare Physical Therapist In Private Practice Provider

Mackenzie Ann Waggoner, PT is a medicare enrolled "Physical Therapist" provider in Lebanon, Tennessee. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Elite Sports Medicine And Orthopaedic Center Plc and her current practice location is 1035 S Hartmann Dr, Lebanon, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 321-3310.

Mackenzie Ann Waggoner is licensed to practice in Tennessee (license number 12258) 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 1891295549.

Contact Information

	Mackenzie Ann Waggoner, PT
	1035 S Hartmann Dr, Lebanon, TN 37090-4064
	(615) 321-3310
	(615) 443-5488

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Ann Waggoner
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	1035 S Hartmann Dr, Lebanon, Tennessee
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:

Mackenzie Ann Waggoner graduated from medical school in 2017

NPI Data:

NPI Number: 1891295549
Provider Enumeration Date: 02/20/2018
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4789918467
Enrollment ID: I20190701000307

Medical Identifiers

Medical identifiers for Mackenzie Ann Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891295549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12258 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elite Sports Medicine And Orthopaedic Center Plc	8729009634	79

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 Ann Waggoner allows following entities to bill medicare on her behalf.

Provider Name	Tennessee Orthopaedic Alliance Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538153937 PECOS PAC ID: 5193625069 Enrollment ID: O20040109000069

Provider Name	Elite Sports Medicine And Orthopaedic Center Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528281623 PECOS PAC ID: 8729009634 Enrollment ID: O20051207000566

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 Ann Waggoner 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 Ann Waggoner, PT Po Box 306556, Nashville, TN 37230-6556 Ph: (615) 329-2294	Mackenzie Ann Waggoner, PT 1035 S Hartmann Dr, Lebanon, TN 37090-4064 Ph: (615) 321-3310

Reviews and Comments

Physical Therapist in Lebanon, TN

Courtney A Steele, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 Fax: 615-443-9037
Jonathon Casey Mcgee, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 521 W Main St, Lebanon, TN 37087 Phone: 615-444-9400 Fax: 615-444-9406
Mrs. Sandra Denise Steele, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1430 W Baddour Pkwy Ste C, Lebanon, TN 37087 Phone: 615-453-1422
Amanda Kelley Lankford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 Fax: 615-443-9037
Chase Bruce, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 615-323-3310 Fax: 615-443-5488
Dr. Mario Novo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 615-321-0200 Fax: 615-443-5488
Caleb Wharton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 920 S Hartmann Dr Ste 330, Lebanon, TN 37090 Phone: 615-547-6488

Mackenzie Ann Waggoner, PT - Medicare Physical Therapist in Lebanon, TN