Dr Mary-helene A Massullo, DO is a
Surgery physician based in Fostoria, Ohio. Dr Mary-helene A Massullo is licensed to practice in Ohio (license number 34004036) and her current practice location is 501 Van Buren St, Suite 206, Fostoria, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 436-1035.
NPI number for Dr Mary-helene A Massullo is 1649348343 and her current mailing address is 501 Van Buren St, Suite 206, Fostoria, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649348343.
Physician's Profile
| Full Name | Dr Mary-helene A Massullo |
|---|
| Gender | Female |
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| Speciality | Surgery |
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| Location | 501 Van Buren St, Fostoria, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649348343
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 05/19/2015
Medical Identifiers
Medical identifiers for Dr Mary-helene A Massullo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649348343 | NPI | - | NPPES |
| 0786252 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 34004036 (Ohio) | Primary |
| 208D00000X | General Practice | 34004036 (Ohio) | Secondary |
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 Mary-helene A Massullo 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 Mary-helene A Massullo, DO
501 Van Buren St, Suite 206,
Fostoria, OH 44830-1534
Ph: (419) 436-1035 | Dr Mary-helene A Massullo, DO
501 Van Buren St, Suite 206,
Fostoria, OH 44830-1534
Ph: (419) 436-1035 |
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