Individual provider Active NPI

Mackenzie Lamon, PA-C

  • Physician Assistant
  • Carthage, NY
National Provider Identifier
1871276311
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030445 Issued in NY
Practice address
117 N Mechanic St
Carthage, NY 13619-1252
Phone
(315) 493-4187
NPI assigned
Aug 10, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 030445 NY Primary

Addresses

Primary practice location

117 N Mechanic St
Carthage, NY 13619-1252

Mailing address

117 N Mechanic St
Carthage, NY 13619-1252
Phone (315) 493-4187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919004392 NY Practitioner - Physician Assistant 0042674319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

117 N Mechanic St
Carthage, NY 13619-1252
Phone (315) 493-4187

3 Bridge St
Carthage, NY 13619-1353

3 Bridge St
Carthage, NY 13619-1360
Phone (315) 493-0110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Aug 10, 2023 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Jan 24, 2026 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Aug 10, 2023 Accepting new patients
Claxton-Hepburn Medical Center Past Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

117 N Mechanic St
Carthage, NY 13619
Phone (315) 493-3100

Interoperability endpoints

  • Direct secure messaging: mlamon@cahclinics.medentdirect.com

Organizations & group practices 6

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

Hospital & facility affiliations 5

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1871276311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MECHANIC ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191252",
            "telephone_number": "315-493-4187",
            "fax_number": "315-493-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MECHANIC ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191252",
            "telephone_number": "315-493-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMON",
        "first_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

Verify at the official NPI Registry.