Vicky Mack, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Orchard Hill, Georgia. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
694 Etheridge Mill Road, Orchard Hill, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 584-0837.
Vicky Mack is licensed to practice in Georgia (license number RN066536) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134592033.
Provider's Profile
| Full Name | Vicky Mack |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 694 Etheridge Mill Road, Orchard Hill, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vicky Mack graduated from nursing school in 2014
NPI Data:
- NPI Number: 1134592033
- Provider Enumeration Date: 11/02/2015
- Last Update Date: 11/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 4880988237
- Enrollment ID: I20160808000571
Medical Identifiers
Medical identifiers for Vicky Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134592033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | RN066536 (Georgia) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN066536 (Georgia) | Secondary |
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. Vicky 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 |
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Vicky Mack, NP
Po Box 72,
Orchard Hill, GA 30266-0072
Ph: (770) 584-0837 | Vicky Mack, NP
694 Etheridge Mill Road,
Orchard Hill, GA 30266-0072
Ph: (770) 584-0837 |
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