Dr John D Mazzarella, DPM is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" physician in Lisle, Illinois. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Vitae Health Of Illinois Llc and his current practice location is
3033 Ogden Ave, Ste 110, Lisle, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 355-3600.
Dr John D Mazzarella is licensed to practice in Illinois (license number 016004364) 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 1780748319.
Physician's Profile
Full Name | Dr John D Mazzarella |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 35 Years |
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Location | 3033 Ogden Ave, Lisle, Illinois |
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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. |
Medical Education and Training:
- Dr John D Mazzarella attended and graduated from William M. Scholl College Of Podiatric Medicine in 1989
NPI Data:
- NPI Number: 1780748319
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375619778
- Enrollment ID: I20080909000507
Medical Identifiers
Medical identifiers for Dr John D Mazzarella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780748319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 016004364 (Illinois) | 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. Dr John D Mazzarella allows following entities to bill medicare on his behalf.
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
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Entity Name | Union Foot Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457891988 PECOS PAC ID: 8921401308 Enrollment ID: O20210722001689 |
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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 John D Mazzarella 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 John D Mazzarella, DPM 3033 Ogden Ave, Ste 110, Lisle, IL 60532-1976 Ph: (630) 355-3600 | Dr John D Mazzarella, DPM 3033 Ogden Ave, Ste 110, Lisle, IL 60532-1976 Ph: (630) 355-3600 |
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