Larry Mazzeo, AUD is a medicare enrolled "Audiologist" provider in Rolla, Missouri. He went to Pennsylvania College Of Optometry and graduated in 1986 and has 38 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Pcrmc Medical Group, Inc and his current practice location is
600 Blues Lake Pkwy, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 364-5719.
Larry Mazzeo is licensed to practice in Missouri (license number 117468) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669466892.
Healthcare Provider's Profile
| Full Name | Larry Mazzeo |
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| Gender | Male |
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| Speciality | Qualified Audiologist |
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| Experience | 38 Years |
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| Location | 600 Blues Lake Pkwy, Rolla, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Larry Mazzeo attended and graduated from Pennsylvania College Of Optometry in 1986
NPI Data:
- NPI Number: 1669466892
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395778765
- Enrollment ID: I20050915000718
Medical Identifiers
Medical identifiers for Larry Mazzeo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669466892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 117468 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pcrmc Medical Group, Inc | 1557454063 | 90 |
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. Larry Mazzeo allows following entities to bill medicare on his behalf.
| Provider Name | Phelps County Regional Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405 |
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| Provider Name | Pcrmc Medical Group, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437 |
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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. Larry Mazzeo 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 |
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Larry Mazzeo, AUD
1202 Turkey Run,
Rolla, MO 65401-3889
Ph: (573) 341-8409 | Larry Mazzeo, AUD
600 Blues Lake Pkwy,
Rolla, MO 65401-8022
Ph: (573) 364-5719 |
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