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
| NPI | 1578341657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 19, 2023 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2920 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ME) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
- Portland Community Health CenterPortland, ME · 36 clinicians
Hospital affiliation
- Northern Light Mercy HospitalPortland, ME
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
- 1518118264
- 1083100341
- 1275090292
- 1073179230
- 1497478515
- 1245865559
- 1720498819
- 1407121932
- 1346720653
- 1245895879
- 1467187187
- 1417118274