Douglas Timothy Mack, MD in Apo, AA - Medicare Otolaryngology

Douglas Timothy Mack, MD is a medicare enrolled "Otolaryngology" physician in Apo, Armed Forces Americas. His current practice location is 4076 Neely Rd., Apo, Armed Forces Americas. You can reach out to his office (for appointments etc.) via phone at (907) 361-5172.

Douglas Timothy Mack is licensed to practice in Nebraska (license number 32380) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861993552.

Contact Information

	Douglas Timothy Mack, MD
	4076 Neely Rd., Apo, AA 99703
	(907) 361-5172
	Not Available

Physician's Profile

Full Name	Douglas Timothy Mack
Gender	Male
Speciality	Otolaryngology
Location	4076 Neely Rd., Apo, Armed Forces Americas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861993552
Provider Enumeration Date: 02/27/2018
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2961831987
Enrollment ID: I20200326001589

Medical Identifiers

Medical identifiers for Douglas Timothy Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861993552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	32380 (Nebraska)	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. Douglas Timothy 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
Douglas Timothy Mack, MD 4076 Neely Road, Fort Wainwright, TX 99703 Ph: (907) 361-5172	Douglas Timothy Mack, MD 4076 Neely Rd., Apo, AA 99703 Ph: (907) 361-5172

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Douglas Timothy Mack, MD - Medicare Otolaryngology in Apo, AA