Philip N Mackinnon, PH D - Psychologist in Lewiston, ID

Philip N Mackinnon, PH D is a Psychologist based in Lewiston, Idaho. Philip N Mackinnon is licensed to practice in Washington (license number PSY235) and his current practice location is 415 6th St, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 743-2511.

NPI number for Philip N Mackinnon is 1376681098 and his current mailing address is 415 6th St, Lewiston, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376681098.

Contact Information

Philip N Mackinnon, PH D
415 6th St,
Lewiston, ID 83501-2431
(208) 743-2511
(208) 799-5554

Map and Direction




Healthcare Provider's Profile

Full NamePhilip N Mackinnon
GenderMale
SpecialityPsychologist
Location415 6th St, Lewiston, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376681098
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Philip N Mackinnon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376681098NPI-NPPES
8373920MedicaidWA
N5905OtherIDBLUE CROSS OF IDAHO IND
0215850OtherWADEPT OF LABOR AND INDUSTR
10016370OtherIDREGENCE OF IDAHO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY235 (Washington)Primary

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. Philip N Mackinnon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Philip N Mackinnon, PH D
415 6th St,
Lewiston, ID 83501-2431

Ph: (208) 743-2511
Philip N Mackinnon, PH D
415 6th St,
Lewiston, ID 83501-2431

Ph: (208) 743-2511

Reviews and Comments


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