Destiny L Mack, in Washington, DC - Medicare Physician Assistant

Destiny L Mack, is a medicare enrolled "Physician Assistant - Medical" in Washington, District Of Columbia. Her current practice location is 900 23rd St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 715-4000.

Destiny L Mack is licensed to practice in * (Not Available) (license number ) 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 1629677398.

Contact Information

	Destiny L Mack,
	900 23rd St Nw, Washington, DC 20037-2342
	(202) 715-4000
	(202) 715-4015

Map and Direction

Provider's Profile

Full Name	Destiny L Mack
Gender	Female
Speciality	Physician Assistant - Medical
Location	900 23rd St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629677398
Provider Enumeration Date: 10/22/2020
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 0143628834
Enrollment ID: I20211011002009

Medical Identifiers

Medical identifiers for Destiny L Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629677398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Primary

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. Destiny L 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
Destiny L Mack, 2309 Shorefield Rd Apt 122, Silver Spring, MD 20902-1853 Ph: (240) 425-3791	Destiny L Mack, 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 715-4000

Reviews and Comments

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Destiny L Mack, - Medicare Physician Assistant in Washington, DC