Dr Dominic Louis Mazza, MD is a
Psychiatry & Neurology - Psychosomatic Medicine physician based in Archbald, Pennsylvania. Dr Dominic Louis Mazza is licensed to practice in Pennsylvania (license number 04318E) and his current practice location is 398 Kennedy Dr, Archbald, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 876-1663.
NPI number for Dr Dominic Louis Mazza is 1265650063 and his current mailing address is 398 Kennedy Dr, Archbald, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265650063.
Physician's Profile
Full Name | Dr Dominic Louis Mazza |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
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Location | 398 Kennedy Dr, Archbald, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265650063
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 02/17/2016
Medical Identifiers
Medical identifiers for Dr Dominic Louis Mazza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265650063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 04318E (Pennsylvania) | 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 Dominic Louis Mazza 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 Dominic Louis Mazza, MD 398 Kennedy Dr, Archbald, PA 18403-1582 Ph: (570) 876-1663 | Dr Dominic Louis Mazza, MD 398 Kennedy Dr, Archbald, PA 18403-1582 Ph: (570) 876-1663 |
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