Mrs Kelly Leigh Mack, PA-C - Medicare Physician Assistant in Prince Frederick, MD

Mrs Kelly Leigh Mack, PA-C is a medicare enrolled "Physician Assistant - Medical" in Prince Frederick, Maryland. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Elite Dermatology, Pllc and her current practice location is 995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 535-5855.

Mrs Kelly Leigh Mack is licensed to practice in Texas (license number PA07662) 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 1396813960.

Contact Information

Mrs Kelly Leigh Mack, PA-C
995 N. Prince Frederick Blvd, Suite 204,
Prince Frederick, MD 20678
(410) 535-5855
(410) 535-6574



Provider's Profile

Full NameMrs Kelly Leigh Mack
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location995 N. Prince Frederick Blvd, Prince Frederick, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Leigh Mack graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1396813960
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 08/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234390279
  • Enrollment ID: I20120418000343

Medical Identifiers

Medical identifiers for Mrs Kelly Leigh Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396813960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA18061 (California)Secondary
363AM0700XPhysician Assistant - Medical PA07662 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Elite Dermatology, Pllc872934528520

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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. Mrs Kelly Leigh 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 AddressPractice Location Address
Mrs Kelly Leigh Mack, PA-C
4505 Kingwood Dr, Ste 185,
Kingwood, TX 77345-2618

Ph: (281) 747-5533
Mrs Kelly Leigh Mack, PA-C
995 N. Prince Frederick Blvd, Suite 204,
Prince Frederick, MD 20678

Ph: (410) 535-5855

News Archive

Robotic surgery holds promise for patients with infective endocarditis

​A potentially fatal bacterial disease of the heart, infective endocarditis frequently affects the heart's tricuspid valve, often resulting in permanent tissue damage.

MSF calls for sustained commitment to global HIV/AIDS funding

During a press conference on Thursday, Medecins Sans Frontieres (MSF) warned that the "global economic crisis and calls to commit funds to other health crises" threatened to undermine recent gains in the fight against HIV/AIDS, the Associated Press reports. MSF "says money for other health issues should be given in addition to money for [HIV/]AIDS" (11/5).

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Recent studies suggest kids tend to gain the most weight in summer, but schools are chastised for providing unhealthy food and beverages, along with decreasing opportunities for physical activity.

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Engineering researchers at the University of Arkansas have developed mathematical optimization models that will make radiation treatment plans safer and more efficient than conventional plans.

Read more News

› Verified 5 days ago


Physician Assistant Nurses in Prince Frederick, MD

Allison Nicole Frere, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Hospital Rd Ste 300, Prince Frederick, MD 20678
Phone: 410-535-4333    Fax: 410-535-3260
Lauren E Brendel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 985 Prince Frederick Blvd., Suite 201, Prince Frederick, MD 20678
Phone: 410-535-2005    Fax: 410-535-4850
Mr. Kenneth L Ferrera, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 995 Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678
Phone: 410-535-5855    Fax: 410-535-6574
Lori E. Maddox, P.A.-C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Hospital Rd Ste 101, Prince Frederick, MD 20678
Phone: 410-535-2500    
Barry L. Myers,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678
Phone: 301-855-1012    
Taylor Edmond Stofft, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 985 Prince Frederick Blvd., Suite 201, Prince Frederick, MD 20678
Phone: 561-843-0276    
John W. Leroy,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678
Phone: 301-855-1012    

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