Dr Alfred Walter Mazur, MD is a medicare enrolled "Urology" physician in Douglas, Georgia. His current practice location is
200 Doctors Dr, Suite 220, Douglas, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 384-4030.
Dr Alfred Walter Mazur is licensed to practice in Georgia (license number 046695) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255311619.
Physician's Profile
| Full Name | Dr Alfred Walter Mazur |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 200 Doctors Dr, Douglas, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alfred Walter Mazur attended and graduated from in
NPI Data:
- NPI Number: 1255311619
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Alfred Walter Mazur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255311619 | NPI | - | NPPES |
| 11D1105865 | Other | GA | CLIA ID - 17 JOHNSON ST |
| 046695 | Other | GA | PHYSICIAN LICENSE # |
| 477420 | Other | GA | WELLCARE |
| 000833412D | Medicaid | GA | |
| 000833412E | Medicaid | GA | |
| 11D1092458 | Other | GA | CLIA ID - 200 DOCTORS DR STE 220 |
| DH1281 | Other | GA | RAILROAD MEDICARE - GROUP # |
| P00726011 | Other | GA | RAILROAD MEDICARE - PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 046695 (Georgia) | 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 Alfred Walter Mazur 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 |
|---|
Dr Alfred Walter Mazur, MD
Po Box 1377,
Douglas, GA 31534-1377
Ph: (912) 384-1477 | Dr Alfred Walter Mazur, MD
200 Doctors Dr, Suite 220,
Douglas, GA 31533-2201
Ph: (912) 384-4030 |
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