Geraci Mack, LBSW, MHA, CHAPLAIN is a
Public Health Or Welfare based in Gladewater, Texas. Geraci Mack is licensed to practice in Texas (license number ) and her current practice location is
408 W Upshur Ave, Gladewater, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 918-8152.
NPI number for Geraci Mack is 1487209003 and her current mailing address is 408 W Upshur Ave, Gladewater, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487209003.
Healthcare Provider's Profile
| Full Name | Geraci Mack |
|---|
| Gender | Female |
|---|
| Speciality | Public Health Or Welfare |
|---|
| Location | 408 W Upshur Ave, Gladewater, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487209003
- Provider Enumeration Date: 08/09/2019
- Last Update Date: 08/09/2019
Medical Identifiers
Medical identifiers for Geraci Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487209003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Texas) | Secondary |
| 101YP1600X | Counselor - Pastoral | (Texas) | Secondary |
| 104100000X | Social Worker | 26197 (Texas) | Secondary |
| 251S00000X | Community/behavioral Health | (Texas) | Secondary |
| 251K00000X | Public Health Or Welfare | (Texas) | Primary |
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. Geraci Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Geraci Mack, LBSW, MHA, CHAPLAIN
408 W Upshur Ave,
Gladewater, TX 75647-2124
Ph: (903) 918-8152 | Geraci Mack, LBSW, MHA, CHAPLAIN
408 W Upshur Ave,
Gladewater, TX 75647-2124
Ph: (903) 918-8152 |
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