Mr Marty Phillip Dack, NP in Lansing, MI - Medicare Nurse Practitioner

Mr Marty Phillip Dack, NP is a medicare enrolled "Nurse Practitioner - Family" in Lansing, Michigan. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Edward W Sparrow Hospital Association and his current practice location is 1703 E Michigan Ave, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 913-3860.

Mr Marty Phillip Dack is licensed to practice in Michigan (license number 4704222015) 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 1871686337.

Contact Information

	Mr Marty Phillip Dack, NP
	1703 E Michigan Ave, Lansing, MI 48912-2841
	(517) 913-3860
	(517) 484-6864

Map and Direction

Provider's Profile

Full Name	Mr Marty Phillip Dack
Gender	Male
Speciality	Nurse Practitioner
Experience	21 Years
Location	1703 E Michigan Ave, Lansing, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Marty Phillip Dack graduated from nursing school in 2003

NPI Data:

NPI Number: 1871686337
Provider Enumeration Date: 10/02/2006
Last Update Date: 08/26/2010

Medicare PECOS Information:

PECOS PAC ID: 6305837196
Enrollment ID: I20040520000778

Medical Identifiers

Medical identifiers for Mr Marty Phillip Dack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871686337	NPI	-	NPPES
1057822	Other	MI	MCLAREN HEALTH PLAN-COMMERCIAL
200000006547	Other	MI	PHP FAMILYCARE
4950304	Medicaid	MI
5008702500	Other	MI	BLUE CROSS BLUE SHILED
P00367059	Other	MI	RAILROAD MEDICARE
1057822	Other	MI	MCLAREN HEALTH ADVANTAGE
1057822	Other	MI	MCLAREN HEALTH PLAN-MEDICAID
7952506	Other	MI	AETNA
N55170013	Other	MI	MEDICARE PLUS BLUE
200000006547	Other	MI	PHP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704222015 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Edward W Sparrow Hospital	Lansing, MI	Hospital
Sparrow Eaton Hospital	Charlotte, MI	Hospital
Sparrow Ionia Hospital	Ionia, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edward W Sparrow Hospital Association	6709799166	525

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 Marty Phillip Dack allows following entities to bill medicare on his behalf.

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366498107 PECOS PAC ID: 6709799166 Enrollment ID: O20040311001138

Entity Name	Recovery Physicians Network Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689343683 PECOS PAC ID: 5597162552 Enrollment ID: O20210920000260

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 Marty Phillip Dack 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 Marty Phillip Dack, NP 1703 E Michigan Ave, Lansing, MI 48912-2841 Ph: (517) 913-3860	Mr Marty Phillip Dack, NP 1703 E Michigan Ave, Lansing, MI 48912-2841 Ph: (517) 913-3860

Reviews and Comments

Nurse Practitioner Nurses in Lansing, MI

Julie Ann Alvarado, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Pleasant Grove Rd, Lansing, MI 48910 Phone: 517-575-9614 Fax: 877-370-2381
Jessica Mary Delcorvo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 E Michigan Ave Ste 400, Lansing, MI 48912 Phone: 517-364-9650 Fax: 517-364-9605
Mrs. Neena Lee Kovalchik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 East Michigan Avenue, Lansing, MI 48912 Phone: 517-364-5137 Fax: 517-364-5997
Joanne Adrian, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4302
Gregory John Hayter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1140 E Michigan Ave Ste 400, Lansing, MI 48912 Phone: 517-364-9650 Fax: 517-364-9605
Kara Spenski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave Ste 655, Lansing, MI 48912 Phone: 517-364-5388 Fax: 517-364-5943
Anisha Kamal Schultz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 N Clippert St, Lansing, MI 48912 Phone: 952-465-2706

Mr Marty Phillip Dack, NP - Medicare Nurse Practitioner in Lansing, MI