Kathleen Ann Mack, ARNP in Emmett, ID - Medicare Nurse Practitioner

Kathleen Ann Mack, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Emmett, Idaho. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Haven Behavioral Outpatient Services Of Boise, Llc and her current practice location is 1006 Vanderdasson Rd, Emmett, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 944-1537.

Kathleen Ann Mack is licensed to practice in Idaho (license number 73858) 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 1326211624.

Contact Information

	Kathleen Ann Mack, ARNP
	1006 Vanderdasson Rd, Emmett, ID 83617-8880
	(208) 944-1537
	(208) 944-6067

Map and Direction

Provider's Profile

Full Name	Kathleen Ann Mack
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	1006 Vanderdasson Rd, Emmett, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Ann Mack graduated from nursing school in 2007

NPI Data:

NPI Number: 1326211624
Provider Enumeration Date: 04/08/2008
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1153498910
Enrollment ID: I20220930002350

Medical Identifiers

Medical identifiers for Kathleen Ann Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326211624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN00106768 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	8636044-4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP30008033 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	73858 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Haven Behavioral Outpatient Services Of Boise, Llc	3870829443	2

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. Kathleen Ann Mack allows following entities to bill medicare on her behalf.

Entity Name	Haven Behavioral Outpatient Services Of Boise, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619534609 PECOS PAC ID: 3870829443 Enrollment ID: O20190719002885

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. Kathleen Ann 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 Address	Practice Location Address
Kathleen Ann Mack, ARNP 1006 Vanderdasson Rd, Emmett, ID 83617-8880 Ph: (208) 944-1537	Kathleen Ann Mack, ARNP 1006 Vanderdasson Rd, Emmett, ID 83617-8880 Ph: (208) 944-1537

Reviews and Comments

Nurse Practitioner Nurses in Emmett, ID

Mark Berger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065
Debra Anne Phillips, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 E Locust St, Emmett, ID 83617 Phone: 208-365-3561 Fax: 208-365-4176
Darcy Renee Cook, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 426 Hwy 16, Emmett, ID 83617 Phone: 208-365-2735 Fax: 208-365-2737
Bobbi Fuller, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 S. Washington Ave, Suite B, Emmett, ID 83617 Phone: 208-740-8808
Michelle Clapperton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422
Lisa Isaksen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 E Locust St, Emmett, ID 83617 Phone: 208-365-3561
Deborah Faye Hollingsworth, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3777 Van Dussen Rd, Emmett, ID 83617 Phone: 208-365-0890 Fax: 208-365-0950

Kathleen Ann Mack, ARNP - Medicare Nurse Practitioner in Emmett, ID