Russell T Mack, MD is a
Anesthesiology physician based in Damariscotta, Maine. Russell T Mack is licensed to practice in Maine (license number MD10261) and his current practice location is 35 Miles St, Damariscotta, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 563-4329.
NPI number for Russell T Mack is 1538154281 and his current mailing address is 324 Gannett Dr Ste 200, South Portland, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538154281.
Physician's Profile
| Full Name | Russell T Mack |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 35 Miles St, Damariscotta, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538154281
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 11/20/2015
Medical Identifiers
Medical identifiers for Russell T Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538154281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | MD10261 (Maine) | 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. Russell T 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 |
|---|
Russell T Mack, MD
324 Gannett Dr Ste 200,
South Portland, ME 04106-3266
Ph: (207) 482-7800 | Russell T Mack, MD
35 Miles St,
Damariscotta, ME 04543-4047
Ph: (207) 563-4329 |
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