Dr Thomas Val Mack, MD is a
General Practice physician based in Marinette, Wisconsin. Dr Thomas Val Mack is licensed to practice in Wisconsin (license number 21285-20) and his current practice location is 4061 Old Peshtigo Rd, Marinette, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 732-8090.
NPI number for Dr Thomas Val Mack is 1417987470 and his current mailing address is 3003 University Dr, Marinette, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417987470.
Physician's Profile
| Full Name | Dr Thomas Val Mack |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 4061 Old Peshtigo Rd, Marinette, Wisconsin |
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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: 1417987470
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 10/17/2018
Medical Identifiers
Medical identifiers for Dr Thomas Val Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417987470 | NPI | - | NPPES |
| P01529036 | Other | | MEDICARE RAILROAD |
| 30126200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 21285-20 (Wisconsin) | 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 Thomas Val Mack 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 Thomas Val Mack, MD
3003 University Dr,
Marinette, WI 54143-4110
Ph: (715) 735-1737 | Dr Thomas Val Mack, MD
4061 Old Peshtigo Rd,
Marinette, WI 54143-3887
Ph: (715) 732-8090 |
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