Mr Charles Edward Mack Jr, DPT in Lansdowne, VA - Medicare Physical Therapy Provider

Mr Charles Edward Mack Jr, DPT is a medicare enrolled "Physical Therapist" provider in Lansdowne, Virginia. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Nova Rehabilitation Inc and his current practice location is 19490 Sandridge Way Ste 170, Lansdowne, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 723-4088.

Mr Charles Edward Mack Jr is licensed to practice in Virginia (license number 2305211409) 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 1376068866.

Contact Information

	Mr Charles Edward Mack Jr, DPT
	19490 Sandridge Way Ste 170, Lansdowne, VA 20176-3467
	(703) 723-4088
	(703) 723-4088

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Edward Mack Jr
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	19490 Sandridge Way Ste 170, Lansdowne, Virginia
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 Charles Edward Mack Jr graduated from medical school in 2017

NPI Data:

NPI Number: 1376068866
Provider Enumeration Date: 08/07/2017
Last Update Date: 08/07/2017

Medicare PECOS Information:

PECOS PAC ID: 8921437666
Enrollment ID: I20200401002145

Medical Identifiers

Medical identifiers for Mr Charles Edward Mack Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376068866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305211409 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nova Rehabilitation Inc	9234302993	2

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 Charles Edward Mack Jr allows following entities to bill medicare on his behalf.

Provider Name	Nova Rehabilitation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689983298 PECOS PAC ID: 9234302993 Enrollment ID: O20111026000084

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 Charles Edward Mack Jr 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 Charles Edward Mack Jr, DPT 19490 Sandridge Way Ste 170, Lansdowne, VA 20176-3467 Ph: (703) 723-4088	Mr Charles Edward Mack Jr, DPT 19490 Sandridge Way Ste 170, Lansdowne, VA 20176-3467 Ph: (703) 723-4088

Reviews and Comments

Physical Therapist in Lansdowne, VA

Dr. Megan Bureau, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19455 Deerfield Ave, Ste 309, Lansdowne, VA 20176 Phone: 703-729-5010
Brian Erik Guzman-comas, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19455 Deerfield Ave Ste 306, Lansdowne, VA 20176 Phone: 703-729-5010
Kaitlin Woelfel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way Ste 230, Lansdowne, VA 20176 Phone: 703-724-7474
Laura M Fawcett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19441 Golf Vista Plz, Suite 230, Lansdowne, VA 20176 Phone: 703-724-7474
Mr. Vinod Mathew, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19465 Deerfield Ave Ste 108, Lansdowne, VA 20176 Phone: 703-415-6037 Fax: 703-986-3205
Dr. Anna Blue Catlett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19455 Deerfield Ave Ste 306, Lansdowne, VA 20176 Phone: 703-729-5010 Fax: 703-729-5833

Mr Charles Edward Mack Jr, DPT - Medicare Physical Therapist in Lansdowne, VA