Ms Carol Jean Mack, PA-C - Physician Assistant in Washington, DC

Ms Carol Jean Mack, PA-C is a Physician Assistant based in Washington, District Of Columbia. Ms Carol Jean Mack is licensed to practice in District Of Columbia (license number PA30161) and her current practice location is 1850 M St Nw, Suite 450, Washington, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at (202) 293-1000.

NPI number for Ms Carol Jean Mack is 1235207366 and her current mailing address is 1106 Norris Ct Sw, Leesburg, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235207366.

Contact Information

Ms Carol Jean Mack, PA-C
1850 M St Nw, Suite 450,
Washington, DC 20036-5803
(202) 293-1000
Not Available



Provider's Profile

Full NameMs Carol Jean Mack
GenderFemale
SpecialityPhysician Assistant
Location1850 M St Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235207366
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Carol Jean Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235207366NPI-NPPES
PA30161OtherDCSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA30161 (District Of Columbia)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. Ms Carol Jean Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Carol Jean Mack, PA-C
1106 Norris Ct Sw,
Leesburg, VA 20175-4361

Ph: (703) 669-9343
Ms Carol Jean Mack, PA-C
1850 M St Nw, Suite 450,
Washington, DC 20036-5803

Ph: (202) 293-1000

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