Nicholas A Massoth, DMD in Caldwell, ID - Medicare Dentist Provider

Nicholas A Massoth, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in Caldwell, Idaho. His current practice location is 4121 Clock Tower Ave, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 459-7800.

Nicholas A Massoth is licensed to practice in Idaho (license number D 3848 OS) 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 1114957917.

Contact Information

	Nicholas A Massoth, DMD
	4121 Clock Tower Ave, Caldwell, ID 83607-5006
	(208) 459-7800
	(208) 455-8452

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas A Massoth
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Pathology
Location	4121 Clock Tower Ave, Caldwell, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114957917
Provider Enumeration Date: 07/04/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2365442878
Enrollment ID: I20070108000226

Medical Identifiers

Medical identifiers for Nicholas A Massoth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114957917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0106X	Dentist - Oral And Maxillofacial Pathology	D 3848 OS (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas A Massoth allows following entities to bill medicare on his behalf.

Entity Name	Canyon County Oral Maxillofacial Surgery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710184783 PECOS PAC ID: 0547360125 Enrollment ID: O20070711000759

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. Nicholas A Massoth 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
Nicholas A Massoth, DMD 4121 Clock Tower Ave, Caldwell, ID 83607-5006 Ph: (208) 459-7800	Nicholas A Massoth, DMD 4121 Clock Tower Ave, Caldwell, ID 83607-5006 Ph: (208) 459-7800

Reviews and Comments

Dentist in Caldwell, ID

Dr. Alvin D Schnell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1417 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-8505
Dr. Loren E. Short, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4203 Clock Tower Ave., Caldwell, ID 83607 Phone: 208-454-4112 Fax: 208-454-5155
Rachelle Melisa Coca, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4111 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-314-2780
Leland Gary Schnell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-8505
Dr. Russell Powell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 329 E Logan St, Caldwell, ID 83605 Phone: 208-459-3388 Fax: 208-453-9295
Jeffrey D Larson, D.M.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Kimball Ave, Caldwell, ID 83605 Phone: 208-454-2061 Fax: 208-459-6899

Nicholas A Massoth, DMD - Medicare Dentist in Caldwell, ID