Mr. Marty Phillip Dack

NP | Nurse Practitioner - Family | 22+ years Exp

1703 E Michigan Ave, Lansing
  Michigan, 48912-2841
517-913-3860
Accepts Medicare Nurse Anesthetist in Lansing, Michigan.
Mr. Marty Phillip Dack is a Lansing, Michigan based nurse practitioner with 22 years of experience in Family. He completed his graduation in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Marty Phillip Dack is 4704222015 for Family in Michigan. His current practice location is 1703 E Michigan Ave, Lansing. Patients can reach him at 517-913-3860 or can fax him at 517-484-6864. Mr. Marty Phillip Dack is NP with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1871686337.
Mr. Marty Phillip Dack delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mr. Marty Phillip Dack speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Marty Phillip Dack
Specialization: Family Nurse Practitioner (FNP)
Gender:Male
Credentials: NP
Experience: 22+ years
Medical School Attended:Other
Graduation Year:2003
Accepts Medicare Assignment:Yes
Practice Address:1703 E Michigan Ave, Lansing,
Michigan, 48912-2841
Phone:517-913-3860
Fax:517-484-6864
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.
PAC ID: 6305837196
Enrollment ID: I20040520000778
NPI Number: 1871686337
NPI Enumeration Date: 02 Oct, 2006
NPI Last Update On: 26 Aug, 2010

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Marty Phillip Dack are as mentioned below.
License NumberSpecializationStateStatus
4704222015Family MichiganPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(230230)Lansing, MIAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Marty Phillip Dack is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Edward W Sparrow Hospital Association (6709799166)483
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Marty Phillip Dack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1057822OtherMichiganMCLAREN HEALTH PLAN-COMMERCIAL
200000006547OtherMichiganPHP FAMILYCARE
4950304MedicaidMichigan
5008702500OtherMichiganBLUE CROSS BLUE SHILED
P00367059OtherMichiganRAILROAD MEDICARE
1057822OtherMichiganMCLAREN HEALTH ADVANTAGE
1057822OtherMichiganMCLAREN HEALTH PLAN-MEDICAID
7952506OtherMichiganAETNA
N55170013OtherMichiganMEDICARE PLUS BLUE
200000006547OtherMichiganPHP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Marty Phillip Dack
1703 E Michigan Ave,
Lansing, Michigan
Zip: 48912-2841
Phone Number: 517-913-3860
Fax Number: 517-484-6864
Patients can reach Mr. Marty Phillip Dack at 1703 E Michigan Ave, Lansing, Michigan or can call to book an appointment on 517-913-3860.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.