Mary C Massa, MD is a medicare enrolled "Dermatology" physician in Westmont, Illinois. Her current practice location is
6319 Fairview Ave, Suite 102, Westmont, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 968-4500.
Mary C Massa is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336159839.
Physician's Profile
| Full Name | Mary C Massa |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 6319 Fairview Ave, Westmont, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336159839
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0042408510
- Enrollment ID: I20101228000396
Medical Identifiers
Medical identifiers for Mary C Massa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336159839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | (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. Mary C Massa allows following entities to bill medicare on her behalf.
| Entity Name | Rush University Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457360703
PECOS PAC ID: 9234129206
Enrollment ID: O20040513000487 |
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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. Mary C Massa 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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Mary C Massa, MD
1725 W Harrison St, Suite 264,
Chicago, IL 60612-3841
Ph: (312) 942-2195 | Mary C Massa, MD
6319 Fairview Ave, Suite 102,
Westmont, IL 60559-2888
Ph: (630) 968-4500 |
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