ERIN MACK
NPI 1437506516
Rehabilitation Practitioner in Waynesville, NC
NPI Status: Active since May 19, 2016
Contact Information
360 OLD BALSAM RD
WAYNESVILLE, NC
ZIP 28786
Phone: (828) 456-7381
- Individual
- Female
- Years of Experience 23
- Rehabilitation Practitioner
- Accepts Insurance
- Accepts Medicare Approved Payment
About ERIN MACK
This page provides the complete NPI Profile along with additional information for Erin Mack, a provider established in Waynesville, North Carolina with a medical specialization in Rehabilitation Practitioner and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1437506516 assigned on May 2016. The practitioner's primary taxonomy code is 225400000X with license number 6433 (NC). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1437506516
- Provider Name
- ERIN MACK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 360 OLD BALSAM RD WAYNESVILLE, NC 28786
- Location Phone
- (828) 456-7381
- Mailing Address
- 360 OLD BALSAM RD WAYNESVILLE, NC 28786
- Mailing Phone
- (828) 456-7381
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-19-2016
- Last Update Date
- 05-19-2016
- Code Navigator
Location Map
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
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 6433
- License State
- NC
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Secure - HMO
- Secure | with Atrium Health - HMO
- Silver Classic - HMO
- Silver Classic | with Atrium Health - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard | with Atrium Health - HMO
- Silver Simple Diabetes - HMO
- Silver Simple Diabetes | with Atrium Health - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple PCP Saver | with Atrium Health - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Erin Mack is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
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.
PECOS PAC ID: 5193197184
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230316000860, I20231208001317
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for ERIN MACK
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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 | 4 | 3 | 7 | 5 | 0 | 6 | 5 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 6 | 7 | 10 | 0 | 12 | 5 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 6 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 2 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1437506516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1437320793 | AUTUMN CORPORATION Organization | Nursing Facility/Intermediate Care Facility | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1578721064 | MRS. TERRIE GALEOTTI LPTA Individual | Physical Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1851747315 | BRENDA CAMERON Individual | Physical Therapist | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1407203912 | MRS. PAMELA CAMMISA PTA Individual | Physical Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1235586751 | SUSAN HOOPER PTA Individual | Physical Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1841647278 | CANDACE WAIT PTA Individual | Physical Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1104273432 | MRS. MELINA PATTON CLINE OTA/L Individual | Occupational Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 400-7989 |
1780031872 | PEGGY BUCHANAN COTA/L Individual | Occupational Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1629426341 | MRS. DONNA WILSON SANDERS OT/L, Individual | Occupational Therapist | 360 OLD BALSAM RD 360 OLD BALSAM ROAD WAYNESVILLE, NC 28786 (828) 452-1935 |
1396260477 | CHRISTINE MITCHELL HARRIS Individual | Nurse Practitioner (Family) | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1902362551 | ROBIN BRADLEY Individual | Occupational Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1508423526 | AMANDA JOANN VIGIL Individual | Physical Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1174133888 | KIMBERLY MARIE CARON MS, CCC-SLP Individual | Speech-Language Pathologist | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1528415601 | AMANDA GRAHAM YOUNG Individual | Speech-Language Pathologist | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1326446733 | ELAINE BAINES DPT Individual | Physical Therapist | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7381 |
1790196061 | ELIZABETH PAPA Individual | Occupational Therapy Assistant | 360 OLD BALSAM RD WAYNESVILLE, NC 28786 (828) 456-7581 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437506516, enumerated in the NPI registry as an "individual" on May 19, 2016
The provider is located at 360 Old Balsam Rd Waynesville, Nc 28786 and the phone number is (828) 456-7381
The provider's speciality is Rehabilitation Practitioner with taxonomy code 225400000X
The provider has more than 23 years of experience.
The provider might be accepting Accepts: AmeriHealth Caritas Next and Oscar Health Plan of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 19, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.