Whitney Mack, | |
476 Williams Way, Moab, UT 84532-2186 | |
(435) 719-3500 | |
Not Available |
Full Name | Whitney Mack |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 10 Years |
Location | 476 Williams Way, Moab, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598173403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125065213 (Illinois) | Secondary |
207Q00000X | Family Medicine | 10869093-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Nursing Services | West valley city, UT | Home health agency |
Moab Regional Hospital | Moab, UT | Hospital |
San Juan Hospital | Monticello, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Moab Valley Healthcare Inc | 2466361720 | 11 |
Entity Name | Moab Valley Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
Mailing Address | Practice Location Address |
---|---|
Whitney Mack, 450 Williams Way, Moab, UT 84532-2185 Ph: (435) 719-3500 | Whitney Mack, 476 Williams Way, Moab, UT 84532-2186 Ph: (435) 719-3500 |
Kenneth Lewis Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 476 Williams Way, Ste A, Moab, UT 84532 Phone: 435-259-7121 Fax: 435-259-3112 | |
Paul Michael Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 | |
Mr. Ray Allen Andrew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Williams Way, Moab, UT 84532 Phone: 435-259-4466 | |
Dr. Donald Nilan Marquardt, PHD, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 267 N Main St, Moab, UT 84532 Phone: 435-259-5276 Fax: 435-259-5277 | |
Dylan Cole, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 476 Williams Way, Suite A, Moab, UT 84532 Phone: 435-259-7121 Fax: 435-259-3112 | |
Steven V Rouzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 380 North 500 West, Moab, UT 84532 Phone: 435-259-0408 Fax: 435-259-0448 | |
Dr. Patrick Mark Scherer, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |