Russell F Mazda, DO | |
140 Nutt Rd, Phoenixville, PA 19460-3906 | |
(610) 983-1221 | |
Not Available |
Full Name | Russell F Mazda |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 140 Nutt Rd, Phoenixville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124082813 | NPI | - | NPPES |
0010174790010 | Medicaid | PA | |
457175 | Other | PA | HIGHMARK BLUE SHIELD |
OS004596L | Other | PA | HEALTH PARTNERS |
30021002 | Other | PA | KEYSTONE MERCY HP |
8821743 | Other | PA | CIGNA HMO/PPO |
0033070000 | Other | PA | PERSONAL CHOICE/KHPE |
0033070000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS004596L (Pennsylvania) | Primary |
Entity Name | Progressive Emergency Physicians Pa Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568930774 PECOS PAC ID: 1850636572 Enrollment ID: O20181227000043 |
Mailing Address | Practice Location Address |
---|---|
Russell F Mazda, DO Po Box 425, Lederach, PA 19450-0425 Ph: (800) 528-0006 | Russell F Mazda, DO 140 Nutt Rd, Phoenixville, PA 19460-3906 Ph: (610) 983-1221 |
Steven M Shuchat, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Nutt Rd, Phoenixville, PA 19460 Phone: 610-983-1221 | |
Serge-emile Simpson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Nutt Rd, Phoenixville, PA 19460 Phone: 856-616-8100 | |
Kevin W Kramer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Nutt Road, Phoenixville, PA 19460 Phone: 610-983-1221 | |
Andrea Hanaway, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Nutt Road, Phoenixville, PA 19460 Phone: 610-983-1221 | |
Dr. Lauren Shirley, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Nutt Rd, Phoenixville, PA 19460 Phone: 610-983-1000 | |
William Shibe, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Nutt Rd, Phoenixville, PA 19460 Phone: 610-983-1221 |