Gina Marie Pack, is a
Registered Nurse based in Jetmore, Kansas. Gina Marie Pack is licensed to practice in Kansas (license number 13-149855-092) and her current practice location is
309 Main St, Jetmore, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 357-8736.
NPI number for Gina Marie Pack is 1942155239 and her current mailing address is 3303 Cervantes Rd, Dodge City, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942155239.
Provider's Profile
| Full Name | Gina Marie Pack |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
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| Location | 309 Main St, Jetmore, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942155239
- Provider Enumeration Date: 03/02/2026
- Last Update Date: 03/02/2026
Medical Identifiers
Medical identifiers for Gina Marie Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942155239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 13-149855-092 (Kansas) | 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. Gina Marie Pack 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 |
|---|
Gina Marie Pack,
3303 Cervantes Rd,
Dodge City, KS 67801-7263
Ph: (620) 357-8736 | Gina Marie Pack,
309 Main St,
Jetmore, KS 67854-9200
Ph: (620) 357-8736 |
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