Douglas K Mack, MD in Fontana, CA - Medicare Physical Medicine And Rehabilitation

Douglas K Mack, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fontana, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-3910.

Douglas K Mack is licensed to practice in California (license number A65889) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124195045.

Contact Information

	Douglas K Mack, MD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Physician's Profile

Full Name	Douglas K Mack
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	28 Years
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas K Mack attended and graduated from University Of California, Irvine, California College Of Medicine in 1996

NPI Data:

NPI Number: 1124195045
Provider Enumeration Date: 11/29/2006
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 0143383927
Enrollment ID: I20090106000583

Medical Identifiers

Medical identifiers for Douglas K Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124195045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	A65889 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas K Mack allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Douglas K 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
Douglas K Mack, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Douglas K Mack, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Fontana, CA

Adrianne C. Beck, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Christine Torralba Diaz, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Kaiser Permanente Department Of Pm&r, Fontana, CA 92335 Phone: 909-558-6202
John Luen Shen, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Gerald R. Goodlow, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Herbert Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Chakradhar Penta, MD, BS Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Mob 2 - Physical Medicine, Fontana, CA 92335 Phone: 909-427-3945 Fax: 909-427-5282

Douglas K Mack, MD - Medicare Physical Medicine And Rehabilitation in Fontana, CA