Amanda Nichole Mcconnell Mack, DO - Medicare Neurology in Gallipolis, OH

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Amanda Nichole Mcconnell Mack, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Gallipolis, Ohio. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Holzer Clinic Llc and her current practice location is 90 Jackson Pike, Gallipolis, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 446-5763.

Amanda Nichole Mcconnell Mack is licensed to practice in Ohio (license number 34.010575) 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 1740424076.

Contact Information

Amanda Nichole Mcconnell Mack, DO
90 Jackson Pike,
Gallipolis, OH 45631-1560
(740) 446-5763
(740) 446-5573

Map and Direction




Physician's Profile

Full NameAmanda Nichole Mcconnell Mack
GenderFemale
SpecialityNeurology
Experience17 Years
Location90 Jackson Pike, Gallipolis, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Nichole Mcconnell Mack attended and graduated from Ohio University, College Of Osteopathic Medicine in 2008
  NPI Data:
  • NPI Number: 1740424076
  • Provider Enumeration Date: 04/30/2009
  • Last Update Date: 01/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729235619
  • Enrollment ID: I20120828000832

Medical Identifiers

Medical identifiers for Amanda Nichole Mcconnell Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740424076NPI-NPPES
3810024041MedicaidWV
0069462MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084S0012XPsychiatry & Neurology - Sleep Medicine 34.010575 (Ohio)Secondary
2084N0400XPsychiatry & Neurology - Neurology 34.010575 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holzer Medical CenterGallipolis, OHHospital
Holzer Medical Center JacksonJackson, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holzer Clinic Llc5890606008264

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. Amanda Nichole Mcconnell Mack allows following entities to bill medicare on her behalf.
Entity NameHolzer Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746

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. Amanda Nichole Mcconnell 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 AddressPractice Location Address
Amanda Nichole Mcconnell Mack, DO
90 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: (740) 446-5763		Amanda Nichole Mcconnell Mack, DO
90 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: (740) 446-5763

Reviews and Comments


Psychiatry & Neurology Doctors in Gallipolis, OH

William G. Miller, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 90 Jackson Pike, Gallipolis, OH 45631
Phone: 855-446-5937    Fax: 740-446-5486
Dr. Edward Albert Dachowski Jr., MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5000    Fax: 740-446-5317

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.