JEFFERY MACK M.D. NPI 1326571779

Internal Medicine in Maumelle, AR

NPI 1326571779 Individual Male Years of Experience 5 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About JEFFERY MACK

Jeffery Mack is an internal medicine provider established in Maumelle, Arkansas and his medical specialization is internal medicine with more than 5 years of experience. He graduated from University Of Arkansas College Of Medicine in 2017. The NPI number of Jeffery Mack is 1326571779 and was assigned on April 2017. The practitioner's primary taxonomy code is 207R00000X with license number E-13380 (AR). The provider is registered as an individual and his NPI record was last updated one year ago.

An internist like Jeffery Mack M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Jeffery Mack is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jeffery Mack is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Baptist Health Medical Center-hot Springs County and Ashley County Medical Center.

NPI

1326571779

Provider Name JEFFERY MACK M.D.
Provider Location Address1701 CLUB MANOR DR MAUMELLE, AR 72113
Provider Mailing Address14 CHERRYHILL CV LITTLE ROCK, AR 72211
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year2017
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-04-2017
Last Update Date07-14-2020


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.E-13380
License StateAR
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

JEFFERY MACK M.D.
1701 CLUB MANOR DR
MAUMELLE, AR
ZIP 72113
Phone: (501) 851-7402
Fax: (501) 851-4753

Get Directions


Mailing Address

JEFFERY MACK M.D.
14 CHERRYHILL CV
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 952-0777



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2264700707
PECOS Enrollment IDI20200804000384
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffery Mack is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY1001 SCHNEIDER DRIVE
MALVERN, AR 72104
(501) 332-1000Acute Care Hospitals40076
ASHLEY COUNTY MEDICAL CENTER1015 UNITY ROAD
CROSSETT, AR 71635
(870) 364-4111Critical Access Hospitals41323

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922016674DR. FRED G NAGEL JR. M.D.
Individual
Family Medicine1701 CLUB MANOR DR SUITE 2
MAUMELLE, AR 72113
(501) 851-7400
1588757249PHARMACY OPERATIONS, INC
Organization
Pharmacy (Community/Retail Pharmacy)1701 CLUB MANOR DR
MAUMELLE, AR 72113
(501) 851-4949
1710124037SAINT-MARK ENTERPRISES 1883 LLC
Organization
Pharmacy (Community/Retail Pharmacy)1701 CLUB MANOR DR SUITE D
MAUMELLE, AR 72113
(501) 851-4949
1972869592 KRISTY MICHELLE BEAMON PA
Individual
Physician Assistant1701 CLUB MANOR DR SUITE 2
MAUMELLE, AR 72113
(501) 851-7400
1871996231MRS. KARA FOREMAN PHARMD
Individual
Pharmacist1701 CLUB MANOR DR STE 1
MAUMELLE, AR 72113
(501) 851-4949
1124037866ARKANSAS HEALTH GROUP
Organization
Family Medicine1701 CLUB MANOR DR SUITE 2
MAUMELLE, AR 72113
(501) 851-7400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.