Look up the most recent NPI and PECOS records

Heather Mary Mackenzie

Social Worker

Behavioral Health & Social Service Providers

2725 Packard Road, Suite 102, Ann Arbor, MI 48104-0000

PECOS Enrollment

This provider is enrolled in PECOS as HEATHER MACKENZIE.

Based on the most recent information from CMS, provider Heather Mary Mackenzie is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1265749089
Provider Type
Individual
Full Name
Mackenzie, Heather Mary
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/1/2010
Last Updated
4/13/2011

Contact Information

Practice Location

2725 Packard Road, Suite 102, Ann Arbor, MI 48104-0000

(734) 476-5449

Unlisted Fax

Mailing Location

1132 Lincoln Ave, Ann Arbor, MI 48104-3529

(734) 476-5449

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801086107 Michigan

Heather Mary Mackenzie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Labrie, Nicole

Nicholson-Muth, Karen Christine

Gault, Cynthia J.

Land, Kenneth Lawrence

Sipher, Lynn

Tatum, Shannon Lee

Waanders, Katherine

Kelly A Grocoff Llc

Snelling, Thomas

Kramer, Charles H