Dr Thomas Val Mack, MD in Marinette, WI - Medicare General Practice

Dr Thomas Val Mack, MD is a medicare enrolled "General Practice" physician in Marinette, Wisconsin. His current practice location is 4061 Old Peshtigo Rd, Marinette, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 732-8090.

Dr Thomas Val Mack is licensed to practice in Wisconsin (license number 21285-20) 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 1417987470.

Contact Information

	Dr Thomas Val Mack, MD
	4061 Old Peshtigo Rd, Marinette, WI 54143-3887
	(715) 732-8090
	(715) 732-8015

Physician's Profile

Full Name	Dr Thomas Val Mack
Gender	Male
Speciality	General Practice
Location	4061 Old Peshtigo Rd, Marinette, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417987470
Provider Enumeration Date: 07/04/2006
Last Update Date: 10/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2567367196
Enrollment ID: I20090624000645

Medical Identifiers

Medical identifiers for Dr Thomas Val Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417987470	NPI	-	NPPES
P01529036	Other		MEDICARE RAILROAD
30126200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	21285-20 (Wisconsin)	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. Dr Thomas Val 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 Val Mack, MD 3003 University Dr, Marinette, WI 54143-4110 Ph: (715) 735-1737	Dr Thomas Val Mack, MD 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 Ph: (715) 732-8090

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Dr Thomas Val Mack, MD - Medicare General Practice in Marinette, WI