Mr Nathan Pack, MA, OTRL is a
Occupational Therapist based in Pecos, New Mexico. Mr Nathan Pack is licensed to practice in New Mexico (license number 2311) and his current practice location is
North Highway 63, Pecos, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 757-4606.
NPI number for Mr Nathan Pack is 1710028485 and his current mailing address is 509 Paige Loop, Los Alamos, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710028485.
Healthcare Provider's Profile
Full Name | Mr Nathan Pack |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | North Highway 63, Pecos, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710028485
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Nathan Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710028485 | NPI | - | NPPES |
95307257 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 2311 (New Mexico) | 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. Mr Nathan Pack 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 Address | Practice Location Address |
Mr Nathan Pack, MA, OTRL 509 Paige Loop, Los Alamos, NM 87544-3622 Ph: (505) 672-9370 | Mr Nathan Pack, MA, OTRL North Highway 63, Pecos, NM 87552-0368 Ph: (505) 757-4606 |
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