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.
Physician's Profile
| Full Name | Douglas Timothy Mack |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 4076 Neely Rd., Apo, Armed Forces Americas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
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| 1861993552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
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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 |