Anthony Massaro, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Jacksonville, Florida. His current practice location is
7711 Baymeadows Rd E Ste 7, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 565-1505.
Anthony Massaro is licensed to practice in Florida (license number DN20307) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003175498.
Healthcare Provider's Profile
Full Name | Anthony Massaro |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 7711 Baymeadows Rd E Ste 7, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003175498
- Provider Enumeration Date: 05/07/2012
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214244870
- Enrollment ID: I20150914002745
Medical Identifiers
Medical identifiers for Anthony Massaro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003175498 | NPI | - | NPPES |
712859 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN20307 (Florida) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DN20307 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony Massaro is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anthony Massaro, MD, DMD 906 Mapleton Ter, Jacksonville, FL 32207-5205 Ph: (412) 334-0163 | Anthony Massaro, MD, DMD 7711 Baymeadows Rd E Ste 7, Jacksonville, FL 32256-9110 Ph: (904) 565-1505 |
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