| Side Mitchell Mack Jr, PA | |
|
1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | |
| (336) 286-5505 | |
| (336) 288-2900 |
| Full Name | Side Mitchell Mack Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1309 Lees Chapel Rd, Greensboro, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740232966 | NPI | - | NPPES |
| 1740232966 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1000323 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-00323 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Medicorp Enterprises Inc | 0648174904 | 128 |
| Mailing Address | Practice Location Address |
|---|---|
| Side Mitchell Mack Jr, PA 1021 Darrington Dr Ste 101, Cary, NC 27513-8158 Ph: (919) 852-3999 | Side Mitchell Mack Jr, PA 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 Ph: (336) 286-5505 |
Ms. Heather Joy Laisure, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5701 W Friendly Ave, Greensboro, NC 27410 Phone: 336-852-1915 Fax: 336-294-3544 | |
Sara Heinz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 102, Greensboro, NC 27401 Phone: 336-378-0713 | |
Emma Maureen Collins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2105 Braxton Ln, Suite 101, Greensboro, NC 27408 Phone: 336-333-6306 Fax: 336-333-6309 | |
Irene Thomas Thayil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Elam Ave, Greensboro, NC 27403 Phone: 336-832-1100 | |
Taylor Mackenzie Dale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1313 Carolina St Ste 101, Greensboro, NC 27401 Phone: 336-275-0927 | |
Michael Carnaghi, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1915 Lendew St, Greensboro, NC 27408 Phone: 336-275-3325 Fax: 336-275-5346 | |
Thomas Bradley Dixon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3200 Northline Ave, Ste 200, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-5020 |