| Randall Mack, PA-C | |
|
10 Kruger Road, Plains, MT 59859 | |
| (406) 826-4800 | |
| Not Available |
| Full Name | Randall Mack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 10 Kruger Road, Plains, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346356359 | NPI | - | NPPES |
| 1346356359 | Medicaid | WA | |
| P01684706 | Other | WA | RR MEDICARE WVH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60595202 (Washington) | Secondary |
| 363A00000X | Physician Assistant | MED-PAC-LIC-190 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Mack, PA-C 10 Kruger Road, Plains, MT 59859 Ph: (406) 826-4800 | Randall Mack, PA-C 10 Kruger Road, Plains, MT 59859 Ph: (406) 826-4800 |
Mr. Nicholas Pierre Lawyer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Kruger Rd, Plains, MT 59859 Phone: 406-826-4800 | |
Mr. Edward A Amberg, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Kruger Rd, Plains, MT 59859 Phone: 406-826-4800 Fax: 406-828-4883 | |
Ms. Jennifer A Strine, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Kruger Rd, Plains, MT 59859 Phone: 406-826-4800 Fax: 406-827-4006 | |
Prof. Benny L Lindeman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Kruger Rd, Plains, MT 59859 Phone: 406-826-4813 |