Angelia Mack, - Medicare Nurse Practitioner in Wichita Falls, TX

Angelia Mack, is a medicare enrolled "Nurse Practitioner" in Wichita Falls, Texas. Her current practice location is 4600 Taft Blvd, Wichita Falls, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 696-1710.

Angelia Mack is licensed to practice in Texas (license number AP139916) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356812416.

Contact Information

Angelia Mack,
4600 Taft Blvd,
Wichita Falls, TX 76308-4935
(940) 696-1710
Not Available

Map and Direction




Provider's Profile

Full NameAngelia Mack
GenderFemale
SpecialityNurse Practitioner
Location4600 Taft Blvd, Wichita Falls, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356812416
  • Provider Enumeration Date: 12/16/2018
  • Last Update Date: 12/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284967605
  • Enrollment ID: I20190617002346

Medical Identifiers

Medical identifiers for Angelia Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356812416NPI-NPPES
00000000000000000000MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP139916 (Texas)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. Angelia Mack allows following entities to bill medicare on her behalf.
Entity NameDhhs Phs Naihs Crownpoint Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114960093
PECOS PAC ID: 0143128041
Enrollment ID: O20031230000393

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. Angelia 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 AddressPractice Location Address
Angelia Mack,
1403 Longview St,
Wichita Falls, TX 76306-4648

Ph: (210) 232-1880
Angelia Mack,
4600 Taft Blvd,
Wichita Falls, TX 76308-4935

Ph: (940) 696-1710

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.