ASHLEY MACK
NPI 1639798614
Pediatrics in Dallas, TX
NPI Status: Active since April 10, 2020
Contact Information
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
Phone: (844) 424-4537
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ASHLEY MACK
This page provides the complete NPI Profile along with additional information for Ashley Mack, a pediatrician established in Dallas, Texas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1639798614 assigned on April 2020. The practitioner's primary taxonomy code is 208000000X with license number U4857 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1639798614
- Provider Name
- ASHLEY MACK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1935 MEDICAL DISTRICT DR DALLAS, TX 75235
- Location Phone
- (844) 424-4537
- Mailing Address
- 625 19TH ST S BIRMINGHAM, AL 35233
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-10-2020
- Last Update Date
- 12-31-2024
- Code Navigator
A pediatrician like Ashley Mack is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 625 19th St S
Birmingham, AL 35233
(205) 638-9589
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- U4857
- License State
- TX
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ashley Mack is enrolled in PECOS and is eligible to order or refer health care 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75235 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.19
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $22.04
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.8
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $25.2
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 7 | 9 | 8 | 6 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 9 | 16 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 9 + 1 + 6 + 6 + 2 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1639798614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JESSICA LYNN LLOYD MD
Pediatrics
(Pediatric Critical Care Medicine)
1935 MEDICAL DISTRICT DR
CHILDREN'S MEDICAL CENTER DALLAS - HOSPITALIST DIVISION
DALLAS, TX
ZIP 75235
MR. JOE DON CAVENDER RN, CPNP
Nurse Practitioner
(Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
DR. TANYA M MARTINEZ-FERNANDEZ M.D.
Pediatrics
(Pediatric Pulmonology)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
MICHAEL M. DOWLING M.D., PH.D, M.S.C.S.
Psychiatry & Neurology
(Neurology with Special Qualifications in Child Neurology)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
STACY ANN FINK NNP
Nurse Practitioner
(Neonatal)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
DR. JO-ANN O NESIAMA MD, MS
Emergency Medicine
(Pediatric Emergency Medicine)
1935 MEDICAL DISTRICT DR
HOSPITAL BASED @ CMC DALLAS
DALLAS, TX
ZIP 75235
MRS. KATHERINE L MOOREHEAD RN, FNP-C
Nurse Practitioner
(Family)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
DR. MOHAMED BADAWY M.D.
Pediatrics
(Pediatric Emergency Medicine)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
DR. ALEX A KANE MD
Surgery
(Plastic and Reconstructive Surgery)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
CHRISTINE W WAGNER NP
Nurse Practitioner
1935 MEDICAL DISTRICT DR
PAVILION F 5114
DALLAS, TX
ZIP 75235
TRACEY B WRIGHT M.D.
Pediatrics
(Pediatric Rheumatology)
1935 MEDICAL DISTRICT DR
CHILDREN'S MEDICAL CENTER DALLAS
DALLAS, TX
ZIP 75235
ROSEMARY GARZA CHRISTY M.D.
Anesthesiology
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
MRS. ROBIN LUFFY RNCPNP
Nurse Practitioner
(Pediatrics)
1935 MEDICAL DISTRICT DR
PAVILION BLDG, MAIL F5.07
DALLAS, TX
ZIP 75235
DR. CHRIS D GLOVER MD
Anesthesiology
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
LESLI ANN MCCONNELL PA-C
Physician Assistant
(Medical)
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
CHRISTINA K GORTON PA-C
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
DR. CLIFFORD NEWTON CHEN MD
Pediatrics
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
KIM M MCHARD CPNP
Nurse Practitioner
(Pediatrics)
1935 MEDICAL DISTRICT DR
DEPARTMENT OF GENERAL PEDIATRIC SURGERY B3-3250
DALLAS, TX
ZIP 75235
MRS. DEBRA GEARNER THOMPSON PNP
Nurse Practitioner
(Pediatrics)
1935 MEDICAL DISTRICT DR
CONTINUITY OF CARE CLINIC
DALLAS, TX
ZIP 75235
MRS. PAULA JEAN DIMMITT MS, RN, CPNP
Nurse Practitioner
(Pediatrics)
1935 MEDICAL DISTRICT DR
ENT CLINIC
DALLAS, TX
ZIP 75235
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639798614, enumerated as an "individual" on April 10, 2020.
The provider is located at 1935 MEDICAL DISTRICT DR DALLAS, TX 75235 and the phone number is (844) 424-4537.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.
