Russell T Mack, MD is a medicare enrolled "Anesthesiology" physician in Damariscotta, Maine. His current practice location is
35 Miles St, Damariscotta, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 563-4329.
Russell T Mack is licensed to practice in Maine (license number MD10261) 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 1538154281.
Physician's Profile
| Full Name | Russell T Mack |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 35 Miles St, Damariscotta, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538154281
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 11/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 6305814195
- Enrollment ID: I20040920000839
Medical Identifiers
Medical identifiers for Russell T Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538154281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | MD10261 (Maine) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Russell T Mack allows following entities to bill medicare on his behalf.
| Entity Name | Mainehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166 |
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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. Russell T 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 |
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Russell T Mack, MD
324 Gannett Dr Ste 200,
South Portland, ME 04106-3266
Ph: (207) 482-7800 | Russell T Mack, MD
35 Miles St,
Damariscotta, ME 04543-4047
Ph: (207) 563-4329 |
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