Miss Alexis Lisa Mack, DPT in Tonawanda, NY - Medicare Physical Therapy Provider

Miss Alexis Lisa Mack, DPT is a medicare enrolled "Physical Therapist" provider in Tonawanda, New York. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Sports Physical Therapy Of New York, P.c. and her current practice location is 2540 Sheridan Dr, Tonawanda, New York. You can reach out to her office (for appointments etc.) via phone at (716) 862-0567.

Miss Alexis Lisa Mack is licensed to practice in New York (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649845454.

Contact Information

	Miss Alexis Lisa Mack, DPT
	2540 Sheridan Dr, Tonawanda, NY 14150-9410
	(716) 862-0567
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Alexis Lisa Mack
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	2540 Sheridan Dr, Tonawanda, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Alexis Lisa Mack graduated from medical school in 2021

NPI Data:

NPI Number: 1649845454
Provider Enumeration Date: 05/24/2021
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2062819535
Enrollment ID: I20210927000478

Medical Identifiers

Medical identifiers for Miss Alexis Lisa Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649845454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sports Physical Therapy Of New York, P.c.	4284531674	38

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. Miss Alexis Lisa Mack allows following entities to bill medicare on her behalf.

Provider Name	Sports Physical Therapy Of New York, P.c.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912950072 PECOS PAC ID: 4284531674 Enrollment ID: O20150203001143

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. Miss Alexis Lisa 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
Miss Alexis Lisa Mack, DPT 6965 Goldfinch Ct, North Tonawanda, NY 14120-1376 Ph: (716) 548-2930	Miss Alexis Lisa Mack, DPT 2540 Sheridan Dr, Tonawanda, NY 14150-9410 Ph: (716) 862-0567

Reviews and Comments

Physical Therapist in Tonawanda, NY

Steven Gonser, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Greenhaven Ter, Tonawanda, NY 14150 Phone: 716-213-0772 Fax: 716-213-0773
Ms. Lisa Vargovich Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571
Jodi Ridler, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Greenhaven Ter, Tonawanda, NY 14150 Phone: 716-213-0772 Fax: 716-213-0773
Allyson Raines, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571
Dr. Michelle Alida Nitsche, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 Harriet St, Tonawanda, NY 14150 Phone: 716-517-5564
Mr. Frederick Lacaste Tabliago, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Grimsby Rd, Tonawanda, NY 14223 Phone: 716-541-9102
Thomas Maving, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2540 Sheridan Dr, Tonawanda, NY 14150 Phone: 716-862-0567 Fax: 716-862-0571

Miss Alexis Lisa Mack, DPT - Medicare Physical Therapist in Tonawanda, NY