Mrs Alicia Mae Mack, FNP-C in Grand Forks, ND

Mrs Alicia Mae Mack, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Grand Forks, North Dakota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Spectra Health and her current practice location is 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 757-2100.

Mrs Alicia Mae Mack is licensed to practice in North Dakota (license number R39910) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225523004.

Contact Information

	Mrs Alicia Mae Mack, FNP-C
	212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201
	(701) 757-2100
	(701) 757-2813

Map and Direction

Provider's Profile

Full Name	Mrs Alicia Mae Mack
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	212 S. 4th St. Suite 301, Grand Forks, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Alicia Mae Mack graduated from nursing school in 2018

NPI Data:

NPI Number: 1225523004
Provider Enumeration Date: 06/25/2018
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 5698012698
Enrollment ID: I20190129003242

Medical Identifiers

Medical identifiers for Mrs Alicia Mae Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225523004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2344340 (Minnesota)	Secondary
163W00000X	Registered Nurse	R39910 (North Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	R39910 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Altru Hospital	Grand forks, ND	Hospital
Northwood Deaconess Health Center	Northwood, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectra Health	8022075258	11

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Alicia Mae Mack allows following entities to bill medicare on her behalf.

Entity Name	Spectra Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114343423 PECOS PAC ID: 8022075258 Enrollment ID: O20050103000307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alicia Mae Mack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Alicia Mae Mack, FNP-C 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 Ph: (701) 757-2100	Mrs Alicia Mae Mack, FNP-C 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 Ph: (701) 757-2100

Reviews and Comments

Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Bethann Marie Nuelle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 S Washington St, Grand Forks, ND 58201 Phone: 701-757-2559
Ms. Mary Pat Holler-bibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Oak St, Grand Forks, ND 58201 Phone: 218-230-0070 Fax: 800-958-7702
Kayla Clausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5400 Fax: 701-780-6416
Laura Olson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-6940
Ethan Lee Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St., Grand Forks, ND 58201 Phone: 701-732-7000
Kamrin L Macki, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000

Mrs Alicia Mae Mack, FNP-C - Medicare Nurse Practitioner in Grand Forks, ND