Mr Otto Mazzoni Iii, MS, CCC-SLP is a
Speech-language Pathologist based in Clarksville, Texas. Mr Otto Mazzoni Iii is licensed to practice in Texas (license number 111590) and his current practice location is
2407 W Main St # 82, Clarksville, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 427-3821.
NPI number for Mr Otto Mazzoni Iii is 1245725423 and his current mailing address is 268 Whispering Pine Trl, Mount Vernon, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245725423.
Healthcare Provider's Profile
Full Name | Mr Otto Mazzoni Iii |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 2407 W Main St # 82, Clarksville, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245725423
- Provider Enumeration Date: 06/29/2018
- Last Update Date: 06/29/2018
Medical Identifiers
Medical identifiers for Mr Otto Mazzoni Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245725423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 111590 (Texas) | 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. Mr Otto Mazzoni Iii 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 |
Mr Otto Mazzoni Iii, MS, CCC-SLP 268 Whispering Pine Trl, Mount Vernon, TX 75457-4957 Ph: (903) 563-2405 | Mr Otto Mazzoni Iii, MS, CCC-SLP 2407 W Main St # 82, Clarksville, TX 75426-3327 Ph: (903) 427-3821 |
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