Adam J Mackenzie, PHD in Boise, ID - Medicare Psychologist Provider

Adam J Mackenzie, PHD is a medicare enrolled "Psychologist - Counseling" provider in Boise, Idaho. His current practice location is 671 E Riverpark Ln Ste 220, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 344-2071.

Adam J Mackenzie is licensed to practice in Idaho (license number 1171360) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700660958.

Contact Information

	Adam J Mackenzie, PHD
	671 E Riverpark Ln Ste 220, Boise, ID 83706-6559
	(208) 344-2071
	(208) 344-2075

Map and Direction

Healthcare Provider's Profile

Full Name	Adam J Mackenzie
Gender	Male
Speciality	Psychologist - Counseling
Location	671 E Riverpark Ln Ste 220, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700660958
Provider Enumeration Date: 08/21/2023
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0749644532
Enrollment ID: I20230912003627

Medical Identifiers

Medical identifiers for Adam J Mackenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700660958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	1171360 (Idaho)	Primary
103TC0700X	Psychologist - Clinical	642 (North Dakota)	Secondary
103T00000X	Psychologist	642P (North Dakota)	Secondary

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. Adam J Mackenzie allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316

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. Adam J Mackenzie 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
Adam J Mackenzie, PHD 671 E Riverpark Ln Ste 220, Boise, ID 83706-6559 Ph: (208) 344-2071	Adam J Mackenzie, PHD 671 E Riverpark Ln Ste 220, Boise, ID 83706-6559 Ph: (208) 344-2071

Reviews and Comments

Psychologist in Boise, ID

Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048
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Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208
Dr. Russell Andrew Mccann, Psychologist Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018

Adam J Mackenzie, PHD - Medicare Psychologist in Boise, ID