Dr Michael J Mack, MD | |
4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 | |
(972) 596-6676 | |
(972) 596-7078 |
Full Name | Dr Michael J Mack |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 4708 Alliance Blvd, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376531913 | NPI | - | NPPES |
115911305 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | F6018 (Texas) | Primary |
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
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Dr Michael J Mack, MD 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 Ph: (972) 596-6676 | Dr Michael J Mack, MD 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 Ph: (972) 596-6676 |
John Michael Dimaio, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 540, Plano, TX 75093 Phone: 469-800-6200 | |
Dr. Justin Michael Schaffer, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4716 Alliance Blvd, Pavilion Ii, Suite 310, Plano, TX 75093 Phone: 469-800-6200 | |
Dr. Gary Kimble Jett, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4716 Alliance Blvd, Suite 310, Plano, TX 75093 Phone: 469-800-6200 Fax: 469-800-6210 | |
Dr. Michal Savcenko, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 6149 Windhaven Pkwy Ste 130, Plano, TX 75093 Phone: 972-881-1320 | |
Lee Russell Hafen, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 540, Plano, TX 75093 Phone: 469-800-6200 Fax: 469-800-6210 | |
Dr. James R. Edgerton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 4708 Alliance Blvd, Bldg. 1, Suite 700, Plano, TX 75093 Phone: 972-596-6676 Fax: 972-596-7078 |