Kent M Mackey (NPI# 1619073285, PAC ID# 8628235835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1619073285 |
| PAC ID by PECOS | 8628235835 |
| Professional Enrollment ID | I20120131000141 |
| Full Name | Kent M Mackey |
| Address |
7625 Southtown Crossing Fort Wayne IN 46816-2517 |
| Phone Number | 2604473583 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 7625 Southtown Crossing, Fort Wayne, IN 46816-2517 | 2604473583 |
| Street Address |
7625 SOUTHTOWN CROSSING |
| City | FORT WAYNE |
| State | IN |
| Zip | 46816-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua M Oesterling | Occupational Therapy | Fort Wayne Seating and Rehab Corporation | 7125 Hanna St, Suite 249, Fort Wayne, IN 46816-1166 |
| Jenniffer G Etchison | Physical Therapy | Fort Wayne Seating and Rehab Corporation | 7125 Hanna St, Suite 249, Fort Wayne, IN 46816-1166 |
| Ashley H Boettcher | Nurse Practitioner | Neighborhood Health Clinics Inc | 3350 E Paulding Rd, Fort Wayne, IN 46816-4513 |
| City | FORT WAYNE |
| Zip Code | 46816 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT WAYNE + OPTOMETRY |
Please comment or provide details below to improve the information on Kent M Mackey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.