Gary J Mascilak, PT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Sparta, New Jersey. His current practice location is
540 Lafayette Rd Route 15 So, Suite B, Sparta, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 940-8680.
Gary J Mascilak is licensed to practice in New Jersey (license number 40QA00611400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881680742.
Healthcare Provider's Profile
| Full Name | Gary J Mascilak |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 540 Lafayette Rd Route 15 So, Sparta, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881680742
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 07/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 5991889289
- Enrollment ID: I20250320000051
Medical Identifiers
Medical identifiers for Gary J Mascilak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881680742 | NPI | - | NPPES |
| 8380406 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 38MC00455100 (New Jersey) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 40QA00611400 (New Jersey) | 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. Gary J Mascilak allows following entities to bill medicare on his behalf.
| Provider Name | Crochet Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1558063388
PECOS PAC ID: 9638544083
Enrollment ID: O20230417001964 |
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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. Gary J Mascilak 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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Gary J Mascilak, PT
21 Lafayette Rd, Suite C,
Sparta, NJ 07871
Ph: (973) 729-0291 | Gary J Mascilak, PT
540 Lafayette Rd Route 15 So, Suite B,
Sparta, NJ 07871
Ph: (973) 940-8680 |
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