| Mrs Kelly Leigh Mack, PA-C | |
|
995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 | |
| (410) 535-5855 | |
| (410) 535-6574 |
| Full Name | Mrs Kelly Leigh Mack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 995 N. Prince Frederick Blvd, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396813960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA18061 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA07662 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Dermatology, Pllc | 8729345285 | 20 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Leigh Mack, PA-C 4505 Kingwood Dr, Ste 185, Kingwood, TX 77345-2618 Ph: (281) 747-5533 | Mrs Kelly Leigh Mack, PA-C 995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 Ph: (410) 535-5855 |
Allison Nicole Frere, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 130 Hospital Rd Ste 300, Prince Frederick, MD 20678 Phone: 410-535-4333 Fax: 410-535-3260 | |
Lauren E Brendel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 985 Prince Frederick Blvd., Suite 201, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4850 | |
Mr. Kenneth L Ferrera, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 995 Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 Phone: 410-535-5855 Fax: 410-535-6574 | |
Lori E. Maddox, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Rd Ste 101, Prince Frederick, MD 20678 Phone: 410-535-2500 | |
Barry L. Myers, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 301-855-1012 | |
Taylor Edmond Stofft, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 985 Prince Frederick Blvd., Suite 201, Prince Frederick, MD 20678 Phone: 561-843-0276 | |
John W. Leroy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 301-855-1012 |