MRS. SOUNDRA D MACKAVICH NP-C
NPI 1578891792
Nurse Practitioner - Family in Pontiac, MI
About Mrs. Soundra D Mackavich Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SOUNDRA D MACKAVICH NP-C (NPI 1578891792) is an individual family provider in Pontiac, Michigan, licensed in Michigan (2488088) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Soundra D Mackavich Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
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 Soundra Mackavich's NPI number?
The NPI number for Soundra Mackavich is 1578891792. It was assigned to this individual provider in the NPPES registry on November 29, 2009.
Where is Soundra Mackavich located?
Soundra Mackavich practices at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-6591.
What is Soundra Mackavich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Soundra Mackavich enrolled in Medicare?
Yes. Soundra Mackavich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Soundra Mackavich accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Soundra Mackavich 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 Soundra Mackavich was last updated on November 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Soundra D Mackavich, NP-C · NPI 1578891792
Family physician in Pontiac, Michigan. Individual provider, active in the CMS NPPES registry since November 29, 2009.
## Identity
- **NPI:** 1578891792 (Entity type: Individual)
- **Enumerated:** November 29, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2488088 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 44405 WOODWARD AVE, Pontiac, MI 48341-5023
- **Phone:** (248) 858-6591
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 29, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1578891792) · Data from the CMS NPPES public registry.