DR. SAMUEL ANDREW MACK MD
NPI 1902646094
Student in an Organized Health Care Education/Training Program in Tyler, TX
About Dr. Samuel Andrew Mack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL ANDREW MACK MD (NPI 1902646094) is an individual student in an organized health care education/training program provider in Tyler, Texas and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated May 28, 2024.
NPPES Registry Identity
★ Primary Specialty
Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Samuel 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
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
TYLER, TX 75701
TYLER, TX 75701
TYLER, TX 75701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902646094, enumerated as an "individual" on May 28, 2024.
The provider is located at 1000 S BECKHAM AVE TYLER, TX 75701 and the phone number is (903) 597-0351.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
