Kelly Marie Mackenzie, PHD in Trenton, NJ - Medicare Psychologist Provider

Kelly Marie Mackenzie, PHD is a medicare enrolled "Psychologist - Clinical" provider in Trenton, New Jersey. Her current practice location is 832 Brunswick Ave, Trenton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 815-7400.

Kelly Marie Mackenzie is licensed to practice in New Jersey (license number 35SI00780000) 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 1043831100.

Contact Information

	Kelly Marie Mackenzie, PHD
	832 Brunswick Ave, Trenton, NJ 08638-3847
	(609) 815-7400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Marie Mackenzie
Gender	Female
Speciality	Psychologist - Clinical
Location	832 Brunswick Ave, Trenton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043831100
Provider Enumeration Date: 04/29/2020
Last Update Date: 07/17/2025

Medicare PECOS Information:

PECOS PAC ID: 0244692895
Enrollment ID: I20230814001349

Medical Identifiers

Medical identifiers for Kelly Marie Mackenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043831100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	390200000X (Pennsylvania)	Secondary
103TC0700X	Psychologist - Clinical	35SI00780000 (New Jersey)	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. Kelly Marie Mackenzie allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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. Kelly Marie 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
Kelly Marie Mackenzie, PHD 832 Brunswick Ave, Trenton, NJ 08638-3847 Ph: (609) 815-7400	Kelly Marie Mackenzie, PHD 832 Brunswick Ave, Trenton, NJ 08638-3847 Ph: (609) 815-7400

Reviews and Comments

Psychologist in Trenton, NJ

Matthew D Schmitt, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Trenton, NJ 08641 Phone: 609-754-9324
Dr. Robert Dewitt Lewis Jr., PSY D Psychologist Medicare: Medicare Enrolled Practice Location: 320 W State St, Trenton, NJ 08618 Phone: 609-695-6370 Fax: 609-695-5809
Dr. Joan E. York, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 138 Sanhican Dr, Trenton, NJ 08618 Phone: 609-396-4887 Fax: 609-858-2086
Dr. Tamara Lynn Mckay, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Trenton, NJ 08641 Phone: 810-447-7891
Dr. Ellen R Fink, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 363 Hamilton Ave, Trenton, NJ 08609 Phone: 609-396-3491
Dr. Joseph J. Cooper, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 860 Lower Ferry Rd, Suite 2, Trenton, NJ 08628 Phone: 215-208-4194

Kelly Marie Mackenzie, PHD - Medicare Psychologist in Trenton, NJ