Kayla Lanette Mack, is a medicare enrolled "Emergency Medicine - Emergency Medical Services" in Covington, Louisiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Diabetes Care Solution, Llc and her current practice location is
1202 S Tyler St, Covington, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 898-4000.
Kayla Lanette Mack is licensed to practice in Louisiana (license number 218401) 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 1295329274.
Provider's Profile
Full Name | Kayla Lanette Mack |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 1202 S Tyler St, Covington, Louisiana |
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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:
- Kayla Lanette Mack graduated from nursing school in 2020
NPI Data:
- NPI Number: 1295329274
- Provider Enumeration Date: 02/22/2021
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113335639
- Enrollment ID: I20210422001875
Medical Identifiers
Medical identifiers for Kayla Lanette Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295329274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 218401 (Louisiana) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 218401 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Diabetes Care Solution, Llc | 1759546260 | 3 |
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. Kayla Lanette Mack allows following entities to bill medicare on her behalf.
Entity Name | Baton Rouge Clinic, A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871546911 PECOS PAC ID: 1254317001 Enrollment ID: O20040624000911 |
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Entity Name | St Tammany Emergency Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
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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. Kayla Lanette 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 |
Kayla Lanette Mack, 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 | Kayla Lanette Mack, 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
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