| Kristin L Mack, DO | |
|
125 Finney Blvd, Malone, NY 12953-1067 | |
| (518) 481-8160 | |
| (518) 481-8161 |
| Full Name | Kristin L Mack |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 125 Finney Blvd, Malone, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447539507 | NPI | - | NPPES |
| 03861103 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 272786 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hcr / Hcr Home Care Chha (plattsburgh) | Plattsburgh, NY | Home health agency |
| High Peaks Hospice And Palliative Care, Inc | Saranac lake, NY | Hospice |
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Elderwood At Ticonderoga | Ticonderoga, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hudson Headwaters Health Network | 7416861208 | 212 |
| Citizen Advocates, Inc | 0648241976 | 49 |
| Entity Name | Hudson Headwaters Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Entity Name | Elizabethtown Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin L Mack, DO 125 Finney Blvd, Malone, NY 12953-1067 Ph: (518) 481-8160 | Kristin L Mack, DO 125 Finney Blvd, Malone, NY 12953-1067 Ph: (518) 481-8160 |
Mr. Gerald W Cahill, MDPC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23 4th St, Suite 1, Malone, NY 12953 Phone: 518-483-8990 Fax: 518-481-6049 | |
Carl P Sherwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Finney Blvd, Malone, NY 12953 Phone: 518-483-0109 | |
Angela Snyder, FNP Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 20 4th St Ste 2, Malone, NY 12953 Phone: 518-481-2600 Fax: 518-481-2784 | |
Dr. Mario Douyon De Azevedo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3878 State Route 11, Suite 2, Malone, NY 12953 Phone: 518-483-6566 | |
Brian Connolly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Brand Rd, Malone, NY 12953 Phone: 518-483-8411 Fax: 518-483-8408 | |
Marie-caroline Piche, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 |