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DAKITA MACK DO
NPI 1801454871
Surgery in Bellevue, WA

Active since June 04, 2019PECOS Enrolled
626 120TH AVE NE STE B201, BELLEVUE, WA 98005(425) 453-9060 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jun 4, 2019 (2 updates tracked since 2019).

About Dakita Mack Do NPPES

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

DAKITA MACK DO (NPI 1801454871) is an individual surgery provider in Bellevue, Washington, licensed in Michigan (5151013499) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801454871
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDAKITA MACKCredential: DO
Location Address626 120TH AVE NE STE B201Bellevue, WA 98005-3038
Mailing Address6341 Deshong DrLithonia, GA 30058-6117
Phone(425) 453-9060
Sole ProprietorYes
Enumeration DateJune 4, 2019
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1801454871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5151013499
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
626 120TH AVE NE STE B201, Bellevue, WA 98005
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dakita Mack Do 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 98005 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dakita Mack's NPI number?

The NPI number for Dakita Mack is 1801454871. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Dakita Mack located?

Dakita Mack practices at 626 120th Ave NE Ste B201, Bellevue, WA 98005. The listed phone number is (425) 453-9060.

What is Dakita Mack's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dakita Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dakita Mack was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.