Mackenzie Boon, PHD, LP in Grand Island, NE - Medicare Psychologist Provider

Mackenzie Boon, PHD, LP is a medicare enrolled "Psychologist" provider in Grand Island, Nebraska. Her current practice location is 3230 W Wildwood Dr, Grand Island, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 381-8851.

Mackenzie Boon is licensed to practice in Nebraska (license number 1048) 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 1518397033.

Contact Information

	Mackenzie Boon, PHD, LP
	3230 W Wildwood Dr, Grand Island, NE 68801-9609
	(308) 381-8851
	(308) 381-8853

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Boon
Gender	Female
Speciality	Psychologist
Location	3230 W Wildwood Dr, Grand Island, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518397033
Provider Enumeration Date: 11/19/2013
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6204249618
Enrollment ID: I20210104000566

Medical Identifiers

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

Identifier	Type	State	Issuer
1518397033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1048 (Nebraska)	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. Mackenzie Boon allows following entities to bill medicare on her behalf.

Entity Name	Father Flanagans Boys Home
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622

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 Boon 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 Boon, PHD, LP 2931 E Biddle St, Baltimore, MD 21213-3939 Ph: (443) 923-1872	Mackenzie Boon, PHD, LP 3230 W Wildwood Dr, Grand Island, NE 68801-9609 Ph: (308) 381-8851

Reviews and Comments

Psychologist in Grand Island, NE

Eric Francis Schmidt, PMHP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 N Elm St, Grand Island, NE 68801 Phone: 308-395-1046
Dr. Carley D Starling, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2313 N Webb Rd, Grand Island, NE 68803 Phone: 308-381-8851 Fax: 308-851-8853
Dr. Jeremy Morton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660
Mrs. Elizabeth Ann Heidt Kozisek, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1932 Aspen Circle, Suite J, Grand Island, NE 68802 Phone: 308-379-1949
Jennifer Norie Moniz Tevlin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-389-5134
Lisa G. Buchta, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 908 N Howard Ave Ste 102, Grand Island, NE 68803 Phone: 083-986-0503 Fax: 308-398-6051

Mackenzie Boon, PHD, LP - Medicare Psychologist in Grand Island, NE