Cedric L Mack, is a
Rehabilitation Practitioner based in Las Vegas, Nevada. Cedric L Mack is licensed to practice in * (Not Available) (license number ) and his current practice location is
6889 S Eastern Avenue,, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 434-1200.
NPI number for Cedric L Mack is 1497180319 and his current mailing address is 6666 W Washington Ave, Suite 493, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497180319.
Healthcare Provider's Profile
| Full Name | Cedric L Mack |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 6889 S Eastern Avenue,, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497180319
- Provider Enumeration Date: 09/10/2013
- Last Update Date: 09/19/2013
Medical Identifiers
Medical identifiers for Cedric L Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497180319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (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. Cedric L 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 |
|---|
Cedric L Mack,
6666 W Washington Ave, Suite 493,
Las Vegas, NV 89107-1349
Ph: (404) 981-3563 | Cedric L Mack,
6889 S Eastern Avenue,,
Las Vegas, NV 89119
Ph: (702) 434-1200 |
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