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Primary Practice Address
23625 HOLMAN HIGHWAY
MONTEREY, CA 93940-5902 US
PECOS Enrolled

Nicol Ian Mackenzie

Anesthesiologist


Nicol Ian Mackenzie

Overview

Nicol Ian Mackenzie is a Anesthesiologist in the MONTEREY area. Nicol Ian Mackenzie primary office location is at 23625 HOLMAN HIGHWAY and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205857174 and the information was updated approximately 12 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
23625 HOLMAN HIGHWAY
MONTEREY, CA 93940-5902 US
Phone: (831)-624-5311
Fax:
Practice Mailing Information
PO BOX 7096
STOCKTON, CA 93940-5902 US
Phone: (209)-956-7725
Fax: (209)-956-7733
License Number State
G50107 CA

No Identifiers found

Taxonomy StatePrimary?
Anesthesiologist - Taxonomy Code 207L00000X CAY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes