Dr Kent Lee Sack, MD is a
Family Medicine physician based in Pachero, California. Dr Kent Lee Sack is licensed to practice in California (license number C29667) and his current practice location is 340 5th Ave South, Pachero, California. He can be reached at his office (for appointments etc.) via phone at
(925) 685-8878.
NPI number for Dr Kent Lee Sack is 1194983031 and his current mailing address is 340 5th Ave South, Pachero, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194983031.
Physician's Profile
| Full Name | Dr Kent Lee Sack |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 340 5th Ave South, Pachero, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194983031
- Provider Enumeration Date: 05/28/2008
- Last Update Date: 05/28/2008
Medical Identifiers
Medical identifiers for Dr Kent Lee Sack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194983031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C29667 (California) | 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. Dr Kent Lee Sack 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 |
|---|
Dr Kent Lee Sack, MD
340 5th Ave South,
Pachero, CA 94553
Ph: (925) 685-8878 | Dr Kent Lee Sack, MD
340 5th Ave South,
Pachero, CA 94553
Ph: (925) 685-8878 |
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