Michelle Angelina Mack, FNP in Durham, NC - Medicare Nurse Practitioner

Michelle Angelina Mack, FNP is a medicare enrolled "Nurse Practitioner - Family" in Durham, North Carolina. Her current practice location is 2645 Meridian Pkwy Ste 323, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 227-8902.

Michelle Angelina Mack is licensed to practice in North Carolina (license number F0314142) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699191163.

Contact Information

	Michelle Angelina Mack, FNP
	2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232
	(984) 227-8902
	(844) 813-6747

Map and Direction

Provider's Profile

Full Name	Michelle Angelina Mack
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2645 Meridian Pkwy Ste 323, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699191163
Provider Enumeration Date: 03/08/2014
Last Update Date: 09/15/2025

Medicare PECOS Information:

PECOS PAC ID: 1052536984
Enrollment ID: I20140708001972

Medical Identifiers

Medical identifiers for Michelle Angelina Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699191163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5006858 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	F0314142 (North Carolina)	Primary

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. Michelle Angelina Mack allows following entities to bill medicare on her behalf.

Entity Name	Physiatry Consultants Of Nc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437736881 PECOS PAC ID: 2567871643 Enrollment ID: O20210430000666

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. Michelle Angelina 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
Michelle Angelina Mack, FNP Po Box 746724, Atlanta, GA 30374-6724 Ph: (312) 733-9730	Michelle Angelina Mack, FNP 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 Ph: (984) 227-8902

Reviews and Comments

Nurse Practitioner Nurses in Durham, NC

Rebekah Doiron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
Jordan Mckenzie-solis, APRN, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111
Allison Gibson, MSN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Duke Medicine Cir, Durham, NC 27710 Phone: 919-385-8341
Jennifer Snyder, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 Ashford Ln, Durham, NC 27713 Phone: 330-472-8733
Priscila M Tomlin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8315 Morrell Ln, Durham, NC 27713 Phone: 919-491-4661
Josephine Winifred Hazeley, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707 Phone: 919-275-1405
Zemoria Carter, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4230 N Roxboro St, Durham, NC 27704 Phone: 919-477-9805

Michelle Angelina Mack, FNP - Medicare Nurse Practitioner in Durham, NC