Carol Mack, is a
Community Health Worker based in Mesa, Arizona. Carol Mack is licensed to practice in * (Not Available) (license number ) and her current practice location is
1530 N Country Club Dr Ste 19, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 582-7418.
NPI number for Carol Mack is 1861929689 and her current mailing address is 1530 N Country Club Dr Ste 19, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861929689.
Healthcare Provider's Profile
| Full Name | Carol Mack |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1530 N Country Club Dr Ste 19, Mesa, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861929689
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 05/11/2017
Medical Identifiers
Medical identifiers for Carol Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861929689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 102X00000X | Poetry Therapist | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Carol Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Carol Mack, 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 Ph: (520) 582-7418 | Carol Mack, 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 Ph: (520) 582-7418 |
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