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DR. BONNIE SUZANNE MACKENZIE MD
NPI 1275790958
Pediatrics in New London, CT

Active since May 20, 2008PECOS Enrolled
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bonnie Suzanne Mackenzie Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BONNIE SUZANNE MACKENZIE MD (NPI 1275790958) is an individual pediatrics provider in New London, Connecticut, licensed in Rhode Island (MD13276) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275790958
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. BONNIE SUZANNE MACKENZIECredential: MD
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4700
Phone(860) 442-0711
Sole ProprietorNo
Enumeration DateMay 20, 2008
Last NPPES UpdateJuly 9, 2013
✔ NPI 1275790958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in RI · MD13276✔ Licensed in NY · 247472
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 52132 (CT)
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License MD13276 (RI)
365 MONTAUK AVE, New London, CT 06320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bonnie Suzanne Mackenzie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MR. STEPHEN DANIEL SOCHA FNP-C
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Mackenzie's NPI number?

The NPI number for Bonnie Mackenzie is 1275790958. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Bonnie Mackenzie located?

Bonnie Mackenzie practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Bonnie Mackenzie's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bonnie Mackenzie enrolled in Medicare?

Yes. Bonnie Mackenzie is registered in the Medicare PECOS enrollment system.

What insurance does Bonnie Mackenzie accept?

Health plans from Molina Healthcare list Bonnie Mackenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonnie Mackenzie was last updated on July 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.