Michael A Wack, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD26916 Issued in ME

Practice address

46 Fairview Ave Ste 113
Skowhegan, ME 04976-1481

Phone

(207) 474-3697

Fax

(207) 474-6355

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redington-Fairview General HospitalGroup PAC ID 9133018740, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.wack.p1@direct.sandygordon.nextgenshare.com
• Direct secure messaging: michael.wack@rortho.direct.rfgh.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redington-Fairview General Hospital

  • Critical Access Hospital
  • Skowhegan, ME
  • NPI 1174549133
  Medicare reassignment Care Compare group NPD
• Thedacare, Incorporated

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Redington-Fairview General Hospital

  • Rural Health Clinic/Center
  • Madison, ME
  • NPI 1851423008
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Redington-Fairview General Hospital

  • Critical Access Hospital
  • Skowhegan, ME
  • NPI 1174549133
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1043294077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-474-3697",
            "fax_number": "207-474-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE STE 113",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "207-474-3697",
            "fax_number": "207-474-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACK",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "151740",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD26916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3157733",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Vansoest, CCC- SLP
• Kelly Anne Veinotte
• Hette Ingrid Vellenga, LSWC
• Lisa Vezikov
• Lynsey Vigue, OTR/L
• Marie B Wade, PT
• Anne M Wagner, LSW
• Wal-Mart Stores East LP
• Walgreen Eastern Co Inc
• Lucas Wallace, OT

• Orthopaedic Surgery Physician in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Orthopaedic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.