Mason Ross, is a
Student In An Organized Health Care Education/training Program based in Tolleson, Arizona. Mason Ross is licensed to practice in * (Not Available) (license number ) and his current practice location is
9802 W Van Buren St Unit 237, Tolleson, Arizona. He can be reached at his office (for appointments etc.) via phone at
(505) 258-8695.
NPI number for Mason Ross is 1083420780 and his current mailing address is 9802 W Van Buren St Unit 237, Tolleson, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083420780.
Provider's Profile
| Full Name | Mason Ross |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9802 W Van Buren St Unit 237, Tolleson, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083420780
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 12/06/2024
Medical Identifiers
Medical identifiers for Mason Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083420780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Ross 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 Ross,
9802 W Van Buren St Unit 237,
Tolleson, AZ 85353-2855
Ph: () - | Mason Ross,
9802 W Van Buren St Unit 237,
Tolleson, AZ 85353-2855
Ph: (505) 258-8695 |
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