Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Ireland Dwyer, PA-C

Individual provider Physician Assistant · NPI 1578341657

Mackenzie Ireland Dwyer, PA-C is a Physician Assistant in South Portland, Maine. Qualified in 2025, 1 year ago. Practices with Portland Community Health Center, a 38-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Brickhill Ave
South Portland, ME 04106-1999
Phone: (207) 874-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2920 (ME)

Record details

NPI number1578341657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Portland Community Health Center — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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