Mrs Jessica Leigh Mack, ACNP is a medicare enrolled "Nurse Practitioner" physician in Winston Salem, North Carolina. Her current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-2011.
Mrs Jessica Leigh Mack is licensed to practice in North Carolina (license number 5012459) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457994097.
Physician's Profile
Full Name | Mrs Jessica Leigh Mack |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1 Medical Center Blvd, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jessica Leigh Mack attended and graduated from in
NPI Data:
- NPI Number: 1457994097
- Provider Enumeration Date: 10/27/2019
- Last Update Date: 10/29/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jessica Leigh Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457994097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 254774 (North Carolina) | Secondary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | 5012459 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5012459 (North Carolina) | 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. Mrs Jessica Leigh 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 |
Mrs Jessica Leigh Mack, ACNP 5515 Old Meadow Rd, Charlotte, NC 28227-2677 Ph: (828) 289-9211 | Mrs Jessica Leigh Mack, ACNP 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 |
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