Jaclyn M Mack, MS, RDN, LDN is a
Dietitian, Registered based in Pennsburg, Pennsylvania. Jaclyn M Mack is licensed to practice in Pennsylvania (license number ) and her current practice location is
318 Main St Apt 4, Pennsburg, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(484) 995-3989.
NPI number for Jaclyn M Mack is 1578279857 and her current mailing address is 2488 Knight Rd, Pennsburg, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578279857.
Healthcare Provider's Profile
Full Name | Jaclyn M Mack |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 318 Main St Apt 4, Pennsburg, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578279857
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 01/30/2023
Medical Identifiers
Medical identifiers for Jaclyn M Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578279857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (Pennsylvania) | 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. Jaclyn M 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 |
Jaclyn M Mack, MS, RDN, LDN 2488 Knight Rd, Pennsburg, PA 18073-1974 Ph: (484) 995-3989 | Jaclyn M Mack, MS, RDN, LDN 318 Main St Apt 4, Pennsburg, PA 18073-1326 Ph: (484) 995-3989 |
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