John D Mackenney Pa
Foot & Ankle Surgery
6550 N Wickham Rd Ste 4, Melbourne
Florida, 32940-2038
321-259-4268 John D Mackenney Pa is an authorized DME supplier for medicare equipment and products.John D Mackenney Pa is a Foot & Ankle Surgery in Melbourne, Florida. It is located at 6550 N Wickham Rd Ste 4, Melbourne and it's customer support contact number is 321-259-4268. The authorized person of John D Mackenney Pa is Dr. John David Mackenney, DPM who is Owner Physician of this DME and his contact number is 321-259-4268. Active license number of John D Mackenney Pa is PO3043 for Foot & Ankle Surgery in Florida. John D Mackenney Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
John D Mackenney Pa is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
John D Mackenney Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | John D Mackenney Pa |
| Type: | Foot & Ankle Surgery |
| Location: | 6550 N Wickham Rd Ste 4, Melbourne, Florida, 32940-2038 |
| Phone: | 321-259-4268 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. John David Mackenney |
| Credentials: | DPM |
| Position: | Owner Physician |
| Contact Number: | 321-259-4268 |
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 of given supplier are as mentioned below.
| NPI Number: | 1841472479 |
| NPI Enumeration Date: | 05 Dec, 2007 |
| NPI Last Update On: | 09 Aug, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John D Mackenney Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Foot & Ankle Surgery | PO3043 | Florida | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 340376900 | Medicaid | Florida | |
Medicare Enrollment:
John D Mackenney Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3173516416 | O20040405000518 | John D Mackenney Pa | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3173516416 | O20100930082655 | John D Mackenney Pa | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6550 N Wickham Rd Ste 4, Melbourne, Florida |
| Zip: | 32940-2038 |
| Phone Number: | 321-259-4268 |
Patients can reach John D Mackenney Pa at
6550 N Wickham Rd Ste 4, Melbourne, Florida or can
call on customer care at 321-259-4268.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.