Ms Kathleen Theresa Mack, CRNP in Upper Darby, PA

Ms Kathleen Theresa Mack, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Upper Darby, Pennsylvania. Her current practice location is 1560 Garrett Rd, Upper Darby, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 638-1076.

Ms Kathleen Theresa Mack is licensed to practice in Pennsylvania (license number SP008049) 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 1932352002.

Contact Information

	Ms Kathleen Theresa Mack, CRNP
	1560 Garrett Rd, Upper Darby, PA 19082-4516
	(610) 638-1076
	(610) 638-1085

Map and Direction

Provider's Profile

Full Name	Ms Kathleen Theresa Mack
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1560 Garrett Rd, Upper Darby, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932352002
Provider Enumeration Date: 11/02/2008
Last Update Date: 05/13/2014

Medicare PECOS Information:

PECOS PAC ID: 0648327965
Enrollment ID: I20090402000262

Medical Identifiers

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

Identifier	Type	State	Issuer
1932352002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP008049 (Pennsylvania)	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. Ms Kathleen Theresa Mack allows following entities to bill medicare on her behalf.

Entity Name	Prospect Health Access Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737

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. Ms Kathleen Theresa 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
Ms Kathleen Theresa Mack, CRNP 1560 Garrett Rd, Upper Darby, PA 19082-4516 Ph: (610) 638-1076	Ms Kathleen Theresa Mack, CRNP 1560 Garrett Rd, Upper Darby, PA 19082-4516 Ph: (610) 638-1076

Reviews and Comments

Nurse Practitioner Nurses in Upper Darby, PA

Eunice Eunjin Sun, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6787 Market St Ste 101, Upper Darby, PA 19082 Phone: 610-352-8000 Fax: 610-886-4155
Sahira Dahal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6787 Market St Ste 101, Upper Darby, PA 19082 Phone: 610-352-8000
David Tso, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234 S Bayberry Ln, Signify Insurance Company, Hired As A 1099 Contractor, Upper Darby, PA 19082 Phone: 215-519-5798
Rajbinder Randhawa, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6787 Market St Ste 101, Upper Darby, PA 19082 Phone: 610-352-8000
Obot Grace Tigah, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7200 Chestnut St, Upper Darby, PA 19082 Phone: 215-351-5500
Fengzhi Liu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6787 Market St, Upper Darby, PA 19082 Phone: 610-352-8000
Archana Arya, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6429 Market Street, Upper Darby, PA 19082 Phone: 215-364-8412

Ms Kathleen Theresa Mack, CRNP - Medicare Nurse Practitioner in Upper Darby, PA