Mason Bart Smith, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in New Haven, Connecticut. His current practice location is
20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 688-4242.
Mason Bart Smith is licensed to practice in * (Not Available) (license number ) 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 1063266997.
Healthcare Provider's Profile
| Full Name | Mason Bart Smith |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 20 York St, New Haven, Connecticut |
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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: 1063266997
- Provider Enumeration Date: 04/16/2024
- Last Update Date: 10/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901340942
- Enrollment ID: I20240701002625
Medical Identifiers
Medical identifiers for Mason Bart Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063266997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 14251849-9926 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mason Bart Smith 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 |
Mason Bart Smith, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Mason Bart Smith, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
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