Mack E Knight, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Moselle, Mississippi. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Grayson Creek Medical Clinic Llc and his current practice location is
3 John Everett Rd, Moselle, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 620-9991.
Mack E Knight is licensed to practice in Mississippi (license number 901749) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720520562.
Provider's Profile
| Full Name | Mack E Knight |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 3 John Everett Rd, Moselle, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mack E Knight graduated from nursing school in 2016
NPI Data:
- NPI Number: 1720520562
- Provider Enumeration Date: 11/10/2016
- Last Update Date: 11/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 5799069878
- Enrollment ID: I20170310000404
Medical Identifiers
Medical identifiers for Mack E Knight such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720520562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 901749 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grayson Creek Medical Clinic Llc | 1153605233 | 3 |
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. Mack E Knight allows following entities to bill medicare on his behalf.
| Entity Name | Grayson Creek Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184166035
PECOS PAC ID: 1153605233
Enrollment ID: O20170309001847 |
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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. Mack E Knight 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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Mack E Knight, FNP-C
3 John Everett Rd,
Moselle, MS 39459-9771
Ph: (601) 620-9991 | Mack E Knight, FNP-C
3 John Everett Rd,
Moselle, MS 39459-9771
Ph: (601) 620-9991 |
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