Mackenzie Leigh Epler, PA-C
Individual provider Active NPI Physician Assistant · Missoula, MT
NPI 1275934333 · NPPES record last updated Aug 15, 2017
Key facts
- NPI
- 1275934333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 34402 (MT)
- Practice address
- 601 W Spruce St
Missoula, MT 59802-4057 - Phone
- (406) 327-3350
- Fax
- (406) 327-3355
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seattle Neuropsychiatric Treatment Center PLLC
Practice addresses (Care Compare)
805 Madison St
Suite 401
Seattle, WA 98104-1172
Phone (360) 491-8002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171201001163 | WA | Practitioner - Physician Assistant | 8426374737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34402 | MT | MD | Physician Assistant |
Interoperability endpoints
- mackenzie.epler.1@32851.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 34402 | MT | Yes |
Addresses
Primary practice location
601 W Spruce St
Missoula, MT 59802-4057
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 329-4142
Other providers in Missoula, MT
- Jeffrey Michael Engel
- Katie Marie Engleson
- Clarissa Ivie Anne English
- Susan C. English
- Hannah Grace Entzel
- Emily O Epperson
- Epsilon Kidney Care PC
- Equinox Counseling PLLC
- Gabriela Marie Eraci
- Brenda Erdelyi
All providers in Missoula, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.