Mrs Mackenzie Marie Wittrock, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Carroll, Iowa. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
408 W 8th St, Carroll, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 210-4302.
Mrs Mackenzie Marie Wittrock is licensed to practice in Iowa (license number 081047) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528834389.
Healthcare Provider's Profile
| Full Name | Mrs Mackenzie Marie Wittrock |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 11 Years |
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| Location | 408 W 8th St, Carroll, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Mackenzie Marie Wittrock graduated from medical school in 2015
NPI Data:
- NPI Number: 1528834389
- Provider Enumeration Date: 12/01/2023
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446696686
- Enrollment ID: I20240311003358
Medical Identifiers
Medical identifiers for Mrs Mackenzie Marie Wittrock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528834389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 081047 (Iowa) | 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. Mrs Mackenzie Marie Wittrock allows following entities to bill medicare on her behalf.
| Provider Name | Speech Pathways Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770359564 PECOS PAC ID: 9537505771 Enrollment ID: O20240311003227 |
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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. Mrs Mackenzie Marie Wittrock 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 |
Mrs Mackenzie Marie Wittrock, MA, CCC-SLP 1831 Quint Ave, Carroll, IA 51401-3566 Ph: (712) 210-4302 | Mrs Mackenzie Marie Wittrock, MA, CCC-SLP 408 W 8th St, Carroll, IA 51401-2325 Ph: (712) 210-4302 |
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