Vanessa Mack, RD is a medicare enrolled "Dietitian, Registered" provider in Nicollet, Minnesota. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Mankato Clinic Ltd and her current practice location is
46114 506th St, Nicollet, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 276-1463.
Vanessa Mack is licensed to practice in Minnesota (license number 1040868) 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 1740977362.
Healthcare Provider's Profile
| Full Name | Vanessa Mack |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 17 Years |
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| Location | 46114 506th St, Nicollet, Minnesota |
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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:
- Vanessa Mack graduated from medical school in 2009
NPI Data:
- NPI Number: 1740977362
- Provider Enumeration Date: 04/24/2023
- Last Update Date: 04/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072951607
- Enrollment ID: I20240402002602
Medical Identifiers
Medical identifiers for Vanessa Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740977362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1040868 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mankato Clinic Ltd | 5597677955 | 243 |
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. Vanessa Mack allows following entities to bill medicare on her behalf.
| Provider Name | Mankato Clinic Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629044029
PECOS PAC ID: 5597677955
Enrollment ID: O20031104000231 |
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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. Vanessa 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 |
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Vanessa Mack, RD
46114 506th St,
Nicollet, MN 56074-4003
Ph: (507) 276-1463 | Vanessa Mack, RD
46114 506th St,
Nicollet, MN 56074-4003
Ph: (507) 276-1463 |
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