Elizabeth Hayes Mack
MD | Pediatric Critical Care Medicine | Female
Elizabeth Hayes Mack, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Elizabeth Hayes Mack is
171 Ashley Ave, Charleston, South Carolina - 29425-8908. She can be contacted on phone at
843-792-1414.
Elizabeth Hayes Mack is a sole proprietor of her business.
NPI number (Unique professional ID) for Elizabeth Hayes Mack is
1073684593 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 12 Feb, 2015.
Elizabeth Hayes Mack license number is
24421 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Carolina.
Elizabeth Hayes Mack is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Elizabeth Hayes Mack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Elizabeth Hayes Mack |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elizabeth Hayes Mack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-8908
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073684593 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 12 Feb, 2015 |
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Medicare Participation:
Elizabeth Hayes Mack participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8921008244 |
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| Medicare Enrollment ID : | I20090909000316 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of South Carolina School Of Medicine |
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| Graduation Year : | 2003 |
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| Accepts Medicare? | Yes. Elizabeth Hayes Mack accepts medicare insurance. |
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Group Practice Association:
Elizabeth Hayes Mack is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Elizabeth Hayes Mack is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Medical Associates | 6305758574 | 1198 | 171 Ashley Ave
Charleston, SC - 294258908
Ph: 8437921414 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Hayes Mack are as mentioned. Primary taxonomy code for Elizabeth Hayes Mack, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 35088807 | OH |
| 208000000X | Pediatrics | No | 24421 | SC |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 24421 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Elizabeth Hayes Mack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 244211 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Elizabeth Hayes Mack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.