Dr Chriss A Mack, MD | |
500 W Broadway St, Suite 310, Missoula, MT 59802-4003 | |
(406) 728-6520 | |
(406) 329-2936 |
Full Name | Dr Chriss A Mack |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 500 W Broadway St, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578557377 | NPI | - | NPPES |
0102817 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 7529 (Montana) | Primary |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
---|---|
Dr Chriss A Mack, MD 500 W Broadway St, Suite 310, Missoula, MT 59802-4003 Ph: (406) 728-6520 | Dr Chriss A Mack, MD 500 W Broadway St, Suite 310, Missoula, MT 59802-4003 Ph: (406) 728-6520 |
Dr. Kenneth C Brewington Ii, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway Street, Suite 310, Missoula, MT 59802 Phone: 406-728-6520 Fax: 406-329-2936 | |
Dr. Carter E Beck, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway Street, Suite 310, Missoula, MT 59802 Phone: 406-728-6520 Fax: 406-329-2936 | |
Dr. Anthony Eric Russell, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 507 Pattee Canyon Dr, Missoula, MT 59803 Phone: 406-493-1380 | |
Dr. Henry H Gary, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 West Broadway Street, Suite 310, Missoula, MT 59802 Phone: 406-728-6520 Fax: 406-329-2936 | |
Dr. David Francis Slottje Jr., M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-728-6520 Fax: 406-327-2399 |