Andrew Macko, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00295 Issued in RI

Practice address

1150 New London Ave
Cranston, RI 02920-3036

Phone

(401) 270-3232

Fax

(401) 383-9480

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden City Treatment Center, Inc.Group PAC ID 5597780551, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Garden City Treatment Center, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cranston, RI
  • NPI 1306954425
  Medicare reassignment Care Compare group
• Atwood Medical Associates LTD

  • Pulmonary Disease Physician
  • Johnston, RI
  • NPI 1558386227
  Medicare reassignment
• Geriatrics Associates LLC

  • Medical Physician Assistant
  • Cranston, RI
  • NPI 1043509672
  NPD (past) Authorized official
• Center of New England Urgent Care Inc

  • Urgent Care Clinic/Center
  • West Greenwich, RI
  • NPI 1417207580
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298073600000",
    "number": "1477520906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203036",
            "telephone_number": "401-270-3232",
            "fax_number": "401-383-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203036",
            "telephone_number": "401-270-3232",
            "fax_number": "401-383-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKO",
        "first_name": "ANDREW",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2011-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010647",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9790039451",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Mabray
• Katherine Louise Mac Lean, MD
• Paul Charles Mac Millan, MA.ED
• Ashley Ann Macari
• Stephanie Jean Maciel, PT
• John Alexander Macleod, D.P.M.
• Brittany Macomber, CCC-SLP
• Frank P Maggiacomo, D.O.
• Olivia Rachel Maguire, PT, DPT
• Julia Maietta, PHD

• Physician Assistant in Cranston, RI
• Providers in Cranston, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; 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.