Kimberly Renee Mack, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Gibbstown, New Jersey. Her current practice location is
321 E Broad St, Gibbstown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 423-2790.
Kimberly Renee Mack is licensed to practice in New Jersey (license number 26NJ01024800) 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 1154956001.
Provider's Profile
| Full Name | Kimberly Renee Mack |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 321 E Broad St, Gibbstown, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Renee Mack attended and graduated from in
NPI Data:
- NPI Number: 1154956001
- Provider Enumeration Date: 03/10/2020
- Last Update Date: 03/10/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kimberly Renee Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154956001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 26NJ01024800 (New Jersey) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 26NJ01024800 (New Jersey) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ01024800 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ01024800 (New Jersey) | Primary |
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. Kimberly Renee 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 |
|---|
Kimberly Renee Mack, APN
60 Lisa Marie Ter,
Millville, NJ 08332-4157
Ph: (856) 305-1600 | Kimberly Renee Mack, APN
321 E Broad St,
Gibbstown, NJ 08027-2007
Ph: (856) 423-2790 |
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