Mason Lee Cobb, SRNA is a
Military Health Care Provider based in Portsmouth, Virginia. Mason Lee Cobb is licensed to practice in Virginia (license number 0001277840) and his current practice location is
620 John Paul Jones Cir, Portsmouth, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 953-5000.
NPI number for Mason Lee Cobb is 1356171763 and his current mailing address is 11 Holland Dr, Windsor, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356171763.
Provider's Profile
Full Name | Mason Lee Cobb |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356171763
- Provider Enumeration Date: 08/02/2024
- Last Update Date: 08/03/2024
Medical Identifiers
Medical identifiers for Mason Lee Cobb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356171763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 0001277840 (Virginia) | Secondary |
171000000X | Military Health Care Provider | 0001277840 (Virginia) | 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. Mason Lee Cobb 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 |
Mason Lee Cobb, SRNA 11 Holland Dr, Windsor, VA 23487-9218 Ph: (757) 374-1860 | Mason Lee Cobb, SRNA 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5000 |
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