Ms Vickie Rochelle Mack, - Licensed Practical Nurse in Jackson, MS

Ms Vickie Rochelle Mack, is a Licensed Practical Nurse based in Jackson, Mississippi. Ms Vickie Rochelle Mack is licensed to practice in Mississippi (license number P122165) and her current practice location is 811 Alvaredo St, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 372-8941.

NPI number for Ms Vickie Rochelle Mack is 1912088055 and her current mailing address is 811 Alvaredo St, Jackson, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912088055.

Contact Information

Ms Vickie Rochelle Mack,
811 Alvaredo St,
Jackson, MS 39204-5317
(601) 372-8941
Not Available

Map and Direction




Provider's Profile

Full NameMs Vickie Rochelle Mack
GenderFemale
SpecialityLicensed Practical Nurse
Location811 Alvaredo St, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912088055
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Ms Vickie Rochelle Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912088055NPI-NPPES
00770172MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse P122165 (Mississippi)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. Ms Vickie Rochelle Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Vickie Rochelle Mack,
811 Alvaredo St,
Jackson, MS 39204-5317

Ph: (601) 372-8941
Ms Vickie Rochelle Mack,
811 Alvaredo St,
Jackson, MS 39204-5317

Ph: (601) 372-8941

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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