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KATHRYN LYNN MAZACK
NPI 1194497313
Counselor - Professional in Madison, WI

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
700 RAY O VAC DR STE 220, MADISON, WI 53711(608) 276-9191(608) 276-9144 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kathryn Lynn Mazack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN LYNN MAZACK (NPI 1194497313) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (5923-125) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1194497313
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN LYNN MAZACK
Location Address700 RAY O VAC DR STE 220Madison, WI 53711-2476
Mailing Address524 Troy DrMadison, WI 53704-1575 · (608) 445-3339
Phone(608) 276-9191
Fax(608) 276-9144
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1194497313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5923-125
700 RAY O VAC DR STE 220, Madison, WI 53711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn Lynn Mazack is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850743287
PECOS Enrollment IDI20240122000774
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW R PEVERILL PHD
Psychologist (Clinical)
700 RAY O VAC DR STE 220
MADISON, WI 53711
Dane County (608) 276-9191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Mazack's NPI number?

The NPI number for Kathryn Mazack is 1194497313. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Kathryn Mazack located?

Kathryn Mazack practices at 700 Ray O Vac Dr Ste 220, Madison, WI 53711. The listed phone number is (608) 276-9191.

What is Kathryn Mazack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathryn Mazack enrolled in Medicare?

Yes. Kathryn Mazack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Mazack accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Kathryn Mazack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Mazack was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.