Kristin L Mack, DO - Medicare Family Practice in Ticonderoga, NY

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Kristin L Mack, DO is a medicare enrolled "Family Medicine" physician in Ticonderoga, New York. She went to West Virginia School Of Osteopathic Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hudson Headwaters Health Network and her current practice location is 101 Adirondack Dr Ste 2, Ticonderoga, New York. You can reach out to her office (for appointments etc.) via phone at (518) 585-6708.

Kristin L Mack is licensed to practice in New York (license number 272786) 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 1447539507.

Contact Information

Kristin L Mack, DO
101 Adirondack Dr Ste 2,
Ticonderoga, NY 12883-9334
(518) 585-6708
(518) 585-3260

Map and Direction




Physician's Profile

Full NameKristin L Mack
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location101 Adirondack Dr Ste 2, Ticonderoga, New York
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:
  • Kristin L Mack attended and graduated from West Virginia School Of Osteopathic Medicine in 2011
  NPI Data:
  • NPI Number: 1447539507
  • Provider Enumeration Date: 08/08/2011
  • Last Update Date: 05/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4789802299
  • Enrollment ID: I20140826000147

Medical Identifiers

Medical identifiers for Kristin L Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447539507NPI-NPPES
03861103MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 272786 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
High Peaks Hospice And Palliative Care, IncSaranac lake, NYHospice
Elizabethtown Community HospitalElizabethtown, NYHospital
Glens Falls HospitalGlens falls, NYHospital
Elderwood At TiconderogaTiconderoga, NYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hudson Headwaters Health Network7416861208182

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. Kristin L Mack allows following entities to bill medicare on her behalf.
Entity NameHudson Headwaters Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194738344
PECOS PAC ID: 7416861208
Enrollment ID: O20031117000239
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameElizabethtown Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053656744
PECOS PAC ID: 3577554138
Enrollment ID: O20040521000534

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. Kristin L 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
Kristin L Mack, DO
9 Carey Rd,
Queensbury, NY 12804-7880

Ph: (518) 761-0300		Kristin L Mack, DO
101 Adirondack Dr Ste 2,
Ticonderoga, NY 12883-9334

Ph: (518) 585-6708

Reviews and Comments


Family Medicine Doctors in Ticonderoga, NY

Emily Triplett, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Adirondack Dr Ste 2, Ticonderoga, NY 12883
Phone: 518-585-6708    Fax: 518-585-3260
Glen D Chapman, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883
Phone: 518-585-6708    Fax: 518-585-3260
Kathleen P Huestis, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 Race Track Rd, Ticonderoga, NY 12883
Phone: 518-585-6708    Fax: 518-585-3260
Richard N Mckeever, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1019 Wicker St, Ticonderoga, NY 12883
Phone: 518-761-0300    Fax: 518-824-2390
Salam Hawa, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Adirondack Dr Ste 2, Ticonderoga, NY 12883
Phone: 518-585-6708    Fax: 518-585-3260

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.