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Mackenzie Ireland Dwyer, PA-C

NPI 1578341657ActiveIndividual· Physician Assistant· South Portland, ME

Physician Assistant (PA-C) with Select Physical Therapy Holdings Inc and 1 other group, practicing in South Portland, Maine. Enrolled in Medicare as practitioner - physician assistant. Lists Northern Light Mercy Hospital as a hospital affiliation.

Overview

NPI1578341657
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 19, 2023
Last updated in NPPESAug 28, 2025
Certified by providerAug 28, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA2920ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (ME)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in South Portland

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