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DR. VICKI LYNN MACK M.D.
NPI 1730101254
Pediatrics in Enola, PA

Active since July 24, 2006PECOS Enrolled
125 N ENOLA DR, SUITE 101, ENOLA, PA 17025(717) 732-7171(717) 732-8872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vicki Lynn Mack M.d. NPPES

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

DR. VICKI LYNN MACK M.D. (NPI 1730101254) is an individual pediatrics provider in Enola, Pennsylvania, licensed in Pennsylvania (MD067040L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730101254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. VICKI LYNN MACKCredential: M.D.
Location Address125 N ENOLA DR, SUITE 101Enola, PA 17025-2500
Mailing Address125 N Enola Dr, Suite 101Enola, PA 17025-2500 · (717) 732-7171 · Fax (717) 732-8872
Phone(717) 732-7171
Fax(717) 732-8872
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730101254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD067040L
Definition
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.
125 N ENOLA DR, Enola, PA 17025
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Other Identifiers 3

Medicare ID-Type Unspecified029582PA
Medicaid0017468620001PA
Medicare UPINF06060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vicki Lynn Mack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

RICHARD BLUTSTEIN MD
Pediatrics
125 N ENOLA DR, STE 101
ENOLA, PA 17025
Cumberland County (717) 732-7171
PENNSBORO PEDIATRICS, LLC
Pediatrics
125 N ENOLA DR, STE 101
ENOLA, PA 17025
Cumberland County (717) 732-7171
DEBRA WENGER
Counselor (Mental Health)
125 N ENOLA DR
ENOLA, PA 17025
Cumberland County (814) 422-5622

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 Vicki Mack's NPI number?

The NPI number for Vicki Mack is 1730101254. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Vicki Mack located?

Vicki Mack practices at 125 N Enola Dr Suite 101, Enola, PA 17025. The listed phone number is (717) 732-7171.

What is Vicki Mack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vicki Mack enrolled in Medicare?

Yes. Vicki Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vicki Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.