DR. TIANNA MARIE MACK DO
NPI 1912643891
Family Medicine in Cheyenne, WY
About Dr. Tianna Marie Mack Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIANNA MARIE MACK DO (NPI 1912643891) is an individual family medicine provider in Cheyenne, Wyoming, licensed in Wyoming (210-T1) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tianna Marie Mack Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHEYENNE, WY 82001
CHEYENNE, WY 82001
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 Tianna Mack's NPI number?
The NPI number for Tianna Mack is 1912643891. It was assigned to this individual provider in the NPPES registry on May 12, 2022.
Where is Tianna Mack located?
Tianna Mack practices at 820 E 17th St, Cheyenne, WY 82001. The listed phone number is (307) 632-2434.
What is Tianna Mack's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tianna Mack enrolled in Medicare?
Yes. Tianna Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Tianna Mack was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Tianna Marie Mack, DO · NPI 1912643891
Family Medicine physician in Cheyenne, Wyoming. Individual provider, active in the CMS NPPES registry since May 12, 2022.
## Identity
- **NPI:** 1912643891 (Entity type: Individual)
- **Enumerated:** May 12, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 210-T1 (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 820 E 17TH ST, Cheyenne, WY 82001-4714
- **Phone:** (307) 632-2434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912643891) · Data from the CMS NPPES public registry.