Mia Rose Massaro, in White Bear Lake, MN - Medicare Occupational Therapist Provider

Mia Rose Massaro, is a medicare enrolled "Occupational Therapist - Pediatrics" provider in White Bear Lake, Minnesota. Her current practice location is 2555 County Road E E, White Bear Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 683-2953.

Mia Rose Massaro is licensed to practice in Minnesota (license number 6028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518525906.

Contact Information

	Mia Rose Massaro,
	2555 County Road E E, White Bear Lake, MN 55110-4906
	(651) 683-2953
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mia Rose Massaro
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	2555 County Road E E, White Bear Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518525906
Provider Enumeration Date: 05/31/2019
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8325497522
Enrollment ID: I20231213002546

Medical Identifiers

Medical identifiers for Mia Rose Massaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518525906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	6028 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mia Rose Massaro allows following entities to bill medicare on her behalf.

Provider Name	Advance Occupational Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174730899 PECOS PAC ID: 4880915891 Enrollment ID: O20150603000076

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. Mia Rose Massaro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mia Rose Massaro, 6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 Ph: (651) 784-7007	Mia Rose Massaro, 2555 County Road E E, White Bear Lake, MN 55110-4906 Ph: (651) 683-2953

Reviews and Comments

Occupational Therapist in White Bear Lake, MN

Elizabeth Juanita Duffy, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4707 Highway 61 N, # 150, White Bear Lake, MN 55110 Phone: 608-322-2722
Ann Eckstrom, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197
Jennifer Marie Frison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953
Wendy Noel Rufledt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 Fax: 651-383-1198
Evolvewell Occupational Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-558-1054
Jenica E Domanico, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197

Mia Rose Massaro, - Medicare Occupational Therapist in White Bear Lake, MN