Stacey M Mack (NPI# 1407017239, PAC ID# 5799910881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1407017239 |
| PAC ID by PECOS | 5799910881 |
| Professional Enrollment ID | I20131025001146 |
| Full Name | Stacey M Mack |
| Address |
3150 Packard Rd Ypsilanti MI 48197-1994 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3150 Packard Rd, Ypsilanti, MI 48197-1994 |
| Street Address |
3150 PACKARD RD |
| City | YPSILANTI |
| State | MI |
| Zip | 48197-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis M Hill | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Roger H Chen | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Sarah Scott | Physician Assistant | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Matthew Kittle | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Wendy M Moller | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Thuy An Orlando | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Shannon Kusiak | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Lisa M Kurajian | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Vaishali Katial | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, Ypsilanit, MI 48197-0860 |
| Stacy Deckhart | Nurse Practitioner | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Find all physicians in zip 48197 | |||
| City | YPSILANTI |
| Zip Code | 48197 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | YPSILANTI + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Stacey M Mack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.