Kenneth Thomas Mason Jr, PA-C is a
Physician Assistant based in Ardmore, Pennsylvania. Kenneth Thomas Mason Jr is licensed to practice in Pennsylvania (license number MA062072) and his current practice location is
200 W Montgomery Ave, Ardmore, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 228-0816.
NPI number for Kenneth Thomas Mason Jr is 1528656337 and his current mailing address is 200 W Montgomery Ave, Ardmore, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528656337.
Provider's Profile
Full Name | Kenneth Thomas Mason Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 200 W Montgomery Ave, Ardmore, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528656337
- Provider Enumeration Date: 01/07/2021
- Last Update Date: 01/07/2021
Medical Identifiers
Medical identifiers for Kenneth Thomas Mason Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528656337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MA062072 (Pennsylvania) | 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. Kenneth Thomas Mason Jr 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 |
Kenneth Thomas Mason Jr, PA-C 200 W Montgomery Ave, Ardmore, PA 19003-1416 Ph: (610) 228-0816 | Kenneth Thomas Mason Jr, PA-C 200 W Montgomery Ave, Ardmore, PA 19003-1416 Ph: (610) 228-0816 |
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