Dr George Joseph Mack, DO is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Portage, Michigan. Dr George Joseph Mack is licensed to practice in Michigan (license number 5101009076) and his current practice location is 7901 S 12th St, Ste. 201, Portage, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 372-8687.
NPI number for Dr George Joseph Mack is 1356384275 and his current mailing address is 2033 Idlewild, Richland, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356384275.
Physician's Profile
Full Name | Dr George Joseph Mack |
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Gender | Male |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 7901 S 12th St, Portage, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356384275
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 03/16/2024
Medical Identifiers
Medical identifiers for Dr George Joseph Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356384275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5101009076 (Michigan) | 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. Dr George Joseph 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 |
Dr George Joseph Mack, DO 2033 Idlewild, Richland, MI 49083-9450 Ph: (269) 629-5888 | Dr George Joseph Mack, DO 7901 S 12th St, Ste. 201, Portage, MI 49024-3831 Ph: (269) 372-8687 |
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