Dr. Susan Tara Mackey is a Patchogue, New York based female chiropractor with 9 years of experience in General Chiropractor. She completed her graduation from Other in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Susan Tara Mackey is 018994-1 in New York. Dr. Susan Tara Mackey is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Susan Tara Mackey speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C., P.A.-C
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2015
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
77 Medford Ave, Patchogue, New York, 11772-1281
Phone:
631-758-1910
Fax:
631-758-2371
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1951335371
Enrollment ID:
I20151201002060
NPI Number:
1427080563
NPI Enumeration Date:
07 Jul, 2006
NPI Last Update On:
18 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Tara Mackey are as mentioned below.
License Number
Specialization
State
Status
018994-1
New York
Primary
X007538-1
General Chiropractor
New York
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Susan Tara Mackey is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Neurology Associates Of Stony Brook, University Faculty Practice Corpo (5193617116)
38
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Susan Tara Mackey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P735820
Other
OXFORD
C07538-4
Other
New York
WC
C0753YM
Other
New York
WC
605796
Other
ACN
929118N
Other
MDC
80315
Other
VYTRA
859940
Other
GHI
8675557
Other
CIGNA
2124488
Other
AETNA
6I020569Y06
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
77 Medford Ave, Patchogue, New York
Zip:
11772-1281
Phone Number:
631-758-1910
Fax Number:
631-758-2371
Patients can reach Dr. Susan Tara Mackey at 77 Medford Ave, Patchogue, New York or can call to book an appointment on 631-758-1910. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.