Adam J Mackenzie, PHD in Minot, ND - Medicare Psychologist Provider

Adam J Mackenzie, PHD is a medicare enrolled "Psychologist" provider in Minot, North Dakota. His current practice location is 1900 8th Ave Se, Minot, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 857-5998.

Adam J Mackenzie is licensed to practice in North Dakota (license number 642P) 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
	1900 8th Ave Se, Minot, ND 58701-4935
	(701) 857-5998
	(701) 857-5022

Map and Direction

Healthcare Provider's Profile

Full Name	Adam J Mackenzie
Gender	Male
Speciality	Psychologist
Location	1900 8th Ave Se, Minot, North Dakota
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: 12/28/2023

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
103T00000X	Psychologist	642P (North Dakota)	Primary
103TC0700X	Psychologist - Clinical	642 (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 Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000	Adam J Mackenzie, PHD 1900 8th Ave Se, Minot, ND 58701-4935 Ph: (701) 857-5998

Reviews and Comments

Psychologist in Minot, ND

Brett J Buican, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1900-8th Ave. S.e., Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022
Dr. Timothy Trell Eaton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1705 4th Ave Nw, Minot, ND 58703 Phone: 701-839-0474 Fax: 701-839-0713
Dr. Stephan Podrygula, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 22nd Ave Nw, Northland Professional Building, Minot, ND 58703 Phone: 701-852-9113 Fax: 701-838-0779
Richard Townsend, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022
Stacy L Slaughter, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555
Dr. Lori A. Shaleen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway, Suite 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555
Dr. Robyn Hardie, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998

Adam J Mackenzie, PHD - Medicare Psychologist in Minot, ND