Dr Thomas J Mack, DPM is a medicare enrolled "Podiatrist" provider in Stickney, Illinois. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Stickney Public Health District and his current practice location is
6721 West 40th Street, Stickney, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 387-0633.
Dr Thomas J Mack is licensed to practice in Illinois (license number 016-003-689) 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 1548265689.
Healthcare Provider's Profile
| Full Name | Dr Thomas J Mack |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 40 Years |
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| Location | 6721 West 40th Street, Stickney, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas J Mack attended and graduated from William M. Scholl College Of Podiatric Medicine in 1984
NPI Data:
- NPI Number: 1548265689
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 04/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436207057
- Enrollment ID: I20090507000606
Medical Identifiers
Medical identifiers for Dr Thomas J Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548265689 | NPI | - | NPPES |
| 016003689 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 016-003-689 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stickney Public Health District | 4183798127 | 4 |
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. Dr Thomas J Mack allows following entities to bill medicare on his behalf.
| Provider Name | Stickney Public Health District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578765426
PECOS PAC ID: 4183798127
Enrollment ID: O20080808000336 |
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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. Dr Thomas J 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 |
|---|
Dr Thomas J Mack, DPM
21041 W Snowberry Ln,
Plainfield, IL 60544-6413
Ph: (630) 390-8360 | Dr Thomas J Mack, DPM
6721 West 40th Street,
Stickney, IL 60402-4171
Ph: (708) 387-0633 |
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