Mr Rudyard A Maza, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Forest Hills, New York. His current practice location is
10470 Queens Blvd, Suite 200, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 275-6010.
Mr Rudyard A Maza is licensed to practice in New York (license number 087326-1) 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 1609127984.
Healthcare Provider's Profile
Full Name | Mr Rudyard A Maza |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 10470 Queens Blvd, Forest Hills, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609127984
- Provider Enumeration Date: 09/26/2012
- Last Update Date: 02/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 0547500118
- Enrollment ID: I20190318001184
Medical Identifiers
Medical identifiers for Mr Rudyard A Maza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609127984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 087326-1 (New York) | 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 Rudyard A Maza 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 |
Mr Rudyard A Maza, LCSW 10470 Queens Blvd, Suite 200, Forest Hills, NY 11375-3638 Ph: (718) 275-6010 | Mr Rudyard A Maza, LCSW 10470 Queens Blvd, Suite 200, Forest Hills, NY 11375-3638 Ph: (718) 275-6010 |
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