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Active NPI 1346356359 Individual Practitioner Male Practitioner

Randall Mack , PA-C

Physician Assistant • Plains, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Randall Mack, PA-C is a certified Physician Assistant practicing in Plains, MT. With approximately 28 years of clinical experience since completing medical education in 1998, Randall Mack delivers high-quality medical care to the local community at 10 KRUGER ROAD.

Randall Mack maintains professional affiliations with Providence St Joseph Medical Center, Plains Hospital Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10 Kruger Road

Plains, MT 59859

Telephone 4068264800
Associated Practice Facility / Clinic
🏢 Plains Hospital Corporation Facility NPI 1265547939

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Plains, MT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +4.2 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Plains, MT (710 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (28 Years) 28 Yrs
Plains Specialty Average (23.8 Years) 23.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-04-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MT MED-PAC-LIC-190

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA60595202

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1346356359 (WA)
Commercial Insurance / Payer ID Rr Medicare Wvh
P01684706 (WA)

Hospital & Practice Group Affiliations

Providence St Joseph Medical Center

6 13th Ave E, Polson, MT 598605315

Phone: 4068835377

Plains Hospital Corporation

10 Kruger Rd, Plains, MT 598599271

Phone: 4068264813

Plains Hospital Corporation

10 Kruger Rd, Plains, MT 598599262

Secondary Practice Locations

5901 N Lidgerwood St Ste 126

Spokane, WA 992081122

Phone: 5094448888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1033603618

Doctor of Osteopathic Medicine (D.O.)

Nicholas Lawyer , PA-C

Physician Assistant

NPI 1043640758

Physician Assistant (Certified)

Dr. Richard Ingle , MD

Family Medicine

NPI 1164523072

Doctor of Medicine (M.D.)

NPI 1255950143

Doctor of Osteopathic Medicine (D.O.)

Cory Nelson

Nurse Anesthetist, Certified Registered

NPI 1295843886
Matthew Madden , NP

Nurse Practitioner

NPI 1417424854

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 08, 2019

Registered at 10 KRUGER ROAD, PLAINS, MT 59859 (Tel: 4068264800)

📍
Updated Business Mailing Address November 08, 2019

Registered at 10 KRUGER ROAD, PLAINS, MT 59859 (Tel: 4068264800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2019

Physician Assistant (License #MED-PAC-LIC-190 in MT)

📍
Updated Practice Location April 09, 2019

Registered at 5901 N LIDGERWOOD ST STE 126, SPOKANE, WA 99208 (Tel: 5094341990)

📍
Updated Business Mailing Address April 09, 2019

Registered at 203 N WASHINGTON ST STE 300, SPOKANE, WA 992010254 (Tel: 5094448888)

NPI Profile Active August 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2016

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)

📍
Updated Business Mailing Address August 29, 2016

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)

👤
Provider Name / Credentials Updated August 29, 2016

Recorded as RANDALL MACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

Physician Assistant (License #PA60595202 in WA)

🟢
Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346356359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: April 29, 2020
Sole Proprietor: No

Mailing Address

10 Kruger Road

Plains, MT 59859

Phone: 4068264800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.