Dr Walter Matthew Mazzella, DDS is a
Dentist based in Woodstock, Maryland. Dr Walter Matthew Mazzella is licensed to practice in Maryland (license number 12129) and his current practice location is
10775 Birmingham Way, Suite 1, Woodstock, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 203-2552.
NPI number for Dr Walter Matthew Mazzella is 1487990099 and his current mailing address is 10775 Birmingham Way, Suite 1, Woodstock, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487990099.
Healthcare Provider's Profile
Full Name | Dr Walter Matthew Mazzella |
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Gender | Male |
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Speciality | Dentist |
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Location | 10775 Birmingham Way, Woodstock, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487990099
- Provider Enumeration Date: 12/31/2012
- Last Update Date: 12/31/2012
Medical Identifiers
Medical identifiers for Dr Walter Matthew Mazzella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487990099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12129 (Maryland) | 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. Dr Walter Matthew Mazzella is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Walter Matthew Mazzella, DDS 10775 Birmingham Way, Suite 1, Woodstock, MD 21163-1425 Ph: (410) 203-2552 | Dr Walter Matthew Mazzella, DDS 10775 Birmingham Way, Suite 1, Woodstock, MD 21163-1425 Ph: (410) 203-2552 |
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