Individual provider Active NPI

Mackenzi L Bingaman, DO

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
National Provider Identifier
1831713031
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS023946 Issued in PA
Practice address
2128 Embassy Dr
Lancaster, PA 17603-2385
Phone
(717) 509-5090
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OT020137 PA
Obstetrics & Gynecology Physician 207V00000X OS023946 PA Primary

Addresses

Primary practice location

2128 Embassy Dr
Lancaster, PA 17603-2385

Mailing address

2128 Embassy Dr
Lancaster, PA 17603-2385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004294 PA Practitioner - Obstetrics/Gynecology 1254757263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2128 Embassy Dr
Lancaster, PA 17603-2338
Phone (717) 509-5090

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS023946PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Obstetrics & Gynecology CurrentSince Sep 9, 2024 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2128 Embassy Dr
Lancaster, PA 17603
Phone (717) 509-5090

51 Peters Rd
Ste 204
Lititz, PA 17543
Phone (717) 509-3059

Interoperability endpoints

  • Direct secure messaging: mbingaman254053@direct-lghealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1831713031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 EMBASSY DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032385",
            "telephone_number": "717-509-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGAMAN",
        "first_name": "MACKENZI",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT020137",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS023946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.