Jovan Mack, FNP is a medicare enrolled "Internal Medicine" in Denver, Colorado. Her current practice location is
6895 E Hampden Ave, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 218-7776.
Jovan Mack is licensed to practice in New Mexico (license number 53745) 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 1275990491.
Provider's Profile
| Full Name | Jovan Mack |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 6895 E Hampden Ave, Denver, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275990491
- Provider Enumeration Date: 01/19/2016
- Last Update Date: 06/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981901758
- Enrollment ID: I20200928002217
Medical Identifiers
Medical identifiers for Jovan Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275990491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN.0992154-NP (Colorado) | Secondary |
| 207R00000X | Internal Medicine | 53745 (New Mexico) | 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. Jovan Mack allows following entities to bill medicare on her behalf.
| Entity Name | Unm Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689747552
PECOS PAC ID: 7618889528
Enrollment ID: O20040110000011 |
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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. Jovan 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 |
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Jovan Mack, FNP
605 Parfet St,
Lakewood, CO 80215-5576
Ph: (303) 986-9583 | Jovan Mack, FNP
6895 E Hampden Ave,
Denver, CO 80224-3047
Ph: (303) 218-7776 |
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