Dr Thomas Val Mack, MD is a medicare enrolled "General Practice" physician in Marinette, Wisconsin. His current practice location is
4061 Old Peshtigo Rd, Marinette, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 732-8090.
Dr Thomas Val Mack is licensed to practice in Wisconsin (license number 21285-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417987470
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 10/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2567367196
- Enrollment ID: I20090624000645
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
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 |
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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