Dr Samuel J Mazza, MD is a
Surgery physician based in Southwick, Massachusetts. Dr Samuel J Mazza is licensed to practice in Massachusetts (license number 33086) and his current practice location is 6 Depot Street, Southwick, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 569-2120.
NPI number for Dr Samuel J Mazza is 1578559779 and his current mailing address is Po Box 1007, Southwick, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578559779.
Physician's Profile
| Full Name | Dr Samuel J Mazza |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 6 Depot Street, Southwick, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578559779
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 09/25/2014
Medical Identifiers
Medical identifiers for Dr Samuel J Mazza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578559779 | NPI | - | NPPES |
| 3102271 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 33086 (Massachusetts) | 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 Samuel J 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 Samuel J Mazza, MD
Po Box 1007,
Southwick, MA 01077-1007
Ph: (413) 569-2120 | Dr Samuel J Mazza, MD
6 Depot Street,
Southwick, MA 01077
Ph: (413) 569-2120 |
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