Mr Brian Mack, FNP-C - Medicare Nurse Practitioner in San Francisco, CA

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Mr Brian Mack, FNP-C is a medicare enrolled "Nurse Practitioner" in San Francisco, California. His current practice location is 655 Montgomery St Ste 810, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (844) 847-8216.

Mr Brian Mack is licensed to practice in North Carolina (license number 5011498) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063979128.

Contact Information

Mr Brian Mack, FNP-C
655 Montgomery St Ste 810,
San Francisco, CA 94111-2677
(844) 847-8216
(415) 520-9150

Map and Direction




Provider's Profile

Full NameMr Brian Mack
GenderMale
SpecialityNurse Practitioner
Location655 Montgomery St Ste 810, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063979128
  • Provider Enumeration Date: 02/25/2019
  • Last Update Date: 12/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062753551
  • Enrollment ID: I20190410001753

Medical Identifiers

Medical identifiers for Mr Brian Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063979128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5011498 (North Carolina)Primary
363LP2300XNurse Practitioner - Primary Care 5011498 (North Carolina)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 5011498 (North Carolina)Secondary
207RS0012XInternal Medicine - Sleep Medicine 5011498 (North Carolina)Secondary

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. Mr Brian Mack allows following entities to bill medicare on his behalf.
Entity NameMoses Cone Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427095249
PECOS PAC ID: 2769395458
Enrollment ID: O20040128000519
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013265909
PECOS PAC ID: 6204744600
Enrollment ID: O20121003000518
Entity NameVirta Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093225138
PECOS PAC ID: 1355770157
Enrollment ID: O20220221001230

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. Mr Brian 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 AddressPractice Location Address
Mr Brian Mack, FNP-C
5001 Quincemoor Ct,
Greensboro, NC 27407-7789

Ph: (336) 840-8338		Mr Brian Mack, FNP-C
655 Montgomery St Ste 810,
San Francisco, CA 94111-2677

Ph: (844) 847-8216

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.