Mr Kyle Mack, in Beachwood, OH - Medicare Nurse Practitioner

Mr Kyle Mack, is a medicare enrolled "Nurse Practitioner - Family" in Beachwood, Ohio. His current practice location is 3999 Richmond Rd, Beachwood, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 593-5532.

Mr Kyle Mack is licensed to practice in Ohio (license number COA.18886-NP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669832424.

Contact Information

	Mr Kyle Mack,
	3999 Richmond Rd, Beachwood, OH 44122-6046
	(216) 593-5532
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kyle Mack
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3999 Richmond Rd, Beachwood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669832424
Provider Enumeration Date: 03/07/2016
Last Update Date: 03/07/2016

Medicare PECOS Information:

PECOS PAC ID: 4486952421
Enrollment ID: I20160407001511

Medical Identifiers

Medical identifiers for Mr Kyle Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669832424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.18886-NP (Ohio)	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. Mr Kyle Mack allows following entities to bill medicare on his behalf.

Entity Name	University Hospitals Ahuja Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609189604 PECOS PAC ID: 5496935538 Enrollment ID: O20120424000026

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. Mr Kyle 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
Mr Kyle Mack, 3999 Richmond Rd, Beachwood, OH 44122-6046 Ph: (216) 593-5532	Mr Kyle Mack, 3999 Richmond Rd, Beachwood, OH 44122-6046 Ph: (216) 593-5532

Reviews and Comments

Nurse Practitioner Nurses in Beachwood, OH

Megan Hebb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3609 Park East Dr Ste 207, Beachwood, OH 44122 Phone: 216-360-9449
Trisha Tyo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3999 Richmond Rd, Beachwood, OH 44122 Phone: 740-707-3874
Ms. Shenika Todd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27030 Cedar Rd Apt 403, Beachwood, OH 44122 Phone: 216-337-9406
Amrithpal Kaur Brar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613
Ms. Sally Ann Yozipovich, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3150 Fax: 216-839-3195
Mrs. Samantha May Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122 Phone: 216-255-5201
Laura Nikole Erskine Penix, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3000

Mr Kyle Mack, - Medicare Nurse Practitioner in Beachwood, OH