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Madison Lorraine Mackenzie

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2790 Health Pkwy, Mt Pleasant, MI 48858-6934

PECOS Enrollment

This provider is enrolled in PECOS as MADISON MACKENZIE.

Based on the most recent information from CMS, provider Madison Lorraine Mackenzie 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1457947574
Provider Type
Individual
Full Name
Mackenzie, Madison Lorraine
Gender
Female

Sole Proprietor
No
Enumeration Date
12/13/2020
Last Updated
1/2/2025

Contact Information

Practice Location

2790 Health Pkwy, Mt Pleasant, MI 48858-6934

(989) 953-5320

Unlisted Fax

Mailing Location

2790 Health Pkwy, Mount Pleasant, MI 48858-6934

(989) 953-5320

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Madison Lorraine Mackenzie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Milett, Patrick W

Ribitch, Kristine Marie

Mingle, Ronald Max

Smith, Jamie

Kastning, April S

Tarbell, Corey Jo

Denzer, Luke

D'Haene, Katelyn

Stone, Lisa K

Li, Lixuan