Timothy B Mack, DO | |
255 W Lancaster Ave Ste 330, Paoli, PA 19301-1766 | |
(610) 786-3200 | |
(610) 786-3208 |
Full Name | Timothy B Mack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 255 W Lancaster Ave Ste 330, Paoli, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306106836 | NPI | - | NPPES |
1030080050001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS017355 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
Paoli Hospital | Paoli, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
---|---|
Timothy B Mack, DO 255 W. Lancaster Avenue, Mob 3, Suite 330, Paoli, PA 19301 Ph: (610) 786-3200 | Timothy B Mack, DO 255 W Lancaster Ave Ste 330, Paoli, PA 19301-1766 Ph: (610) 786-3200 |
George T Taylor Iv, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Lancaster Ave Ste 120, Paoli, PA 19301 Phone: 610-644-8069 Fax: 610-644-6736 | |
Natasha I Garrett, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Lancaster Ave, Suite 120, Paoli, PA 19301 Phone: 610-644-8069 Fax: 610-644-6736 | |
Adam J Tyson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-337-2580 Fax: 610-647-2006 | |
Lawrence S Buckland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Lancaster Ave, Suite 120, Paoli, PA 19301 Phone: 610-644-8069 Fax: 610-644-6736 | |
Barbara B Hackman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 209 W Lancaster Ave, Suite #101, Paoli, PA 19301 Phone: 610-651-7760 Fax: 610-644-7517 | |
Dr. Barry Herbert Burkhardt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W Lancaster Ave, Suite 101, Paoli, PA 19301 Phone: 610-644-2382 Fax: 610-644-7517 |