| Dr Michael J Mack, MD | |
|
4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 | |
| (972) 596-6676 | |
| (972) 596-7078 |
| Full Name | Dr Michael J Mack |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 4708 Alliance Blvd, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376531913 | NPI | - | NPPES |
| 115911305 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | F6018 (Texas) | Primary |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael J Mack, MD 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 Ph: (972) 596-6676 | Dr Michael J Mack, MD 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 Ph: (972) 596-6676 |
John Michael Dimaio, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 540, Plano, TX 75093 Phone: 469-800-6200 | |
Dr. Justin Michael Schaffer, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4716 Alliance Blvd, Pavilion Ii, Suite 310, Plano, TX 75093 Phone: 469-800-6200 | |
Dr. Gary Kimble Jett, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4716 Alliance Blvd, Suite 310, Plano, TX 75093 Phone: 469-800-6200 Fax: 469-800-6210 | |
Dr. Michal Savcenko, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 6149 Windhaven Pkwy Ste 130, Plano, TX 75093 Phone: 972-881-1320 | |
Lee Russell Hafen, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 540, Plano, TX 75093 Phone: 469-800-6200 Fax: 469-800-6210 | |
Dr. James R. Edgerton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 4708 Alliance Blvd, Bldg. 1, Suite 700, Plano, TX 75093 Phone: 972-596-6676 Fax: 972-596-7078 |