Dana Lee Mack, | |
420 Main Street N, Renville, MN 56284-0606 | |
(320) 329-8395 | |
(320) 329-8397 |
Full Name | Dana Lee Mack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 420 Main Street N, Renville, Minnesota |
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 |
---|---|---|---|
1881067817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP4218 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Renville County Hospice | Olivia, MN | Hospice |
Olivia Hospital & Clinic | Olivia, MN | Hospital |
Renvilla Health Center | Renville, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Rc | 5890126726 | 33 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780781054 PECOS PAC ID: 6800707100 Enrollment ID: O20061213000244 |
Entity Name | Healthpartners Rc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649470782 PECOS PAC ID: 5890126726 Enrollment ID: O20200618000378 |
Mailing Address | Practice Location Address |
---|---|
Dana Lee Mack, 420 Main Street N, Renville, MN 56284-0606 Ph: (320) 329-8395 | Dana Lee Mack, 420 Main Street N, Renville, MN 56284-0606 Ph: (320) 329-8395 |
Ruby Rhines, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 E. Main, Renville, MN 56277 Phone: 320-329-8395 Fax: 320-329-8397 |