| Douglas B Masson, MD | |
|
1001 Willow Creek Rd Ste 3300, Prescott, AZ 86301-1614 | |
| (928) 708-4000 | |
| (928) 458-2118 |
| Full Name | Douglas B Masson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 35 Years |
| Location | 1001 Willow Creek Rd Ste 3300, Prescott, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114901238 | NPI | - | NPPES |
| 160446 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 48429 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Honorhealth John C. Lincoln Medical Center | Phoenix, AZ | Hospital |
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Honorhealth Ambulatory | 5991603110 | 630 |
| Northern Arizona Healthcare Corporation | 3577473362 | 391 |
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 103 |
| Sierra Vista Regional Health Center Medical Group Llc | 3779732854 | 45 |
| Entity Name | Honorhealth Ambulatory |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449 |
| Entity Name | Sierra Vista Regional Health Center Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
| Entity Name | Summit Healthcare Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Entity Name | Freedom Health Interventional Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508364860 PECOS PAC ID: 8325309347 Enrollment ID: O20180307001387 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas B Masson, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (602) 406-4786 | Douglas B Masson, MD 1001 Willow Creek Rd Ste 3300, Prescott, AZ 86301-1614 Ph: (928) 708-4000 |