Amanda Nichole Mcconnell Mack, DO | |
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5763 | |
(740) 446-5573 |
Full Name | Amanda Nichole Mcconnell Mack |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 16 Years |
Location | 90 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740424076 | NPI | - | NPPES |
3810024041 | Medicaid | WV | |
0069462 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | 34.010575 (Ohio) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 34.010575 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Home Care | Gallipolis, OH | Home health agency |
Holzer Medical Center | Gallipolis, OH | Hospital |
Holzer Medical Center Jackson | Jackson, OH | Hospital |
St Mary's Medical Center | Huntington, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Amanda Nichole Mcconnell Mack, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5763 | Amanda Nichole Mcconnell Mack, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5763 |
Casey Walker, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Holly Ln, Gallipolis, OH 45631 Phone: 740-794-6019 Fax: 740-794-6022 | |
William G. Miller, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5486 | |
Dr. Edward Albert Dachowski Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 Fax: 740-446-5317 |