Look up the most recent NPI and PECOS records

Mackenzie Sacks

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

235 Wealthy St SE, Grand Rapids, MI 49503-5247

PECOS Enrollment

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

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1316526163
Provider Type
Individual
Full Name
Sacks, Mackenzie
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
4/7/2021
Last Updated
7/24/2025

Contact Information

Practice Location

235 Wealthy St SE, Grand Rapids, MI 49503-5247

(616) 840-8593

Unlisted Fax

Mailing Location

235 Wealthy St SE, Grand Rapids, MI 49503-5247

(616) 840-8953

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5101028579 Michigan

Mackenzie Sacks

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Olejniczak, Paul G

Kramer, Jeffrey H

Vandenberg, Jonathan Christian

Halliday, Salina

Fromson, Andrea

Smith, Meagan Ann

Lasser, Benjamin Robert

Johnson, Nathaniel Keith

Sinskey, Yunna Lee

Jonkman, Kaitlyn Marie