Dr Alfred Walter Mazur, MD is a medicare enrolled "Urology" physician in Douglas, Georgia. He went to Temple University School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Urology. He is a member of the group practice Tift Regional Health System Inc, Crh Physician Practices, Llc and 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 |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 43 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 Temple University School Of Medicine in 1982
NPI Data:
- NPI Number: 1255311619
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042220451
- Enrollment ID: I20081119000426
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 |
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| 208800000X | Urology | 046695 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tift Regional Health System Inc | 2062745169 | 278 |
| Crh Physician Practices, Llc | 5193727964 | 34 |
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. Dr Alfred Walter Mazur allows following entities to bill medicare on his behalf.
| Entity Name | Crh Physician Practices, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710046073
PECOS PAC ID: 5193727964
Enrollment ID: O20070207000243 |
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| Entity Name | Tift Regional Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881203305
PECOS PAC ID: 2062745169
Enrollment ID: O20200217002409 |
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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 |
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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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