Alexander Clayton Mast, DO | |
1010 Hager St, Saint Marys, OH 45885-2421 | |
(419) 394-9579 | |
(419) 394-9580 |
Full Name | Alexander Clayton Mast |
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Gender | Male |
Speciality | Pediatrics |
Location | 1010 Hager St, Saint Marys, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679920755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 5101024607 (Michigan) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
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Alexander Clayton Mast, DO 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (419) 300-1129 | Alexander Clayton Mast, DO 1010 Hager St, Saint Marys, OH 45885-2421 Ph: (419) 394-9579 |
Efren C Aganon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Hager St, Saint Marys, OH 45885 Phone: 419-394-9579 Fax: 419-394-9580 | |
Thomas Joseph Zegarski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Hager St, Saint Marys, OH 45885 Phone: 419-394-9579 Fax: 419-394-9580 | |
Osagie Uwadia Ighile, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Hager St, Saint Marys, OH 45885 Phone: 419-394-9579 Fax: 419-394-9580 |