Dr Dominic Andrew Massary Iii, MD is a medicare enrolled "Plastic Surgery" physician in Rogers, Arkansas. His current practice location is
4803 W Highland Knolls Rd Ste 300, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 265-4746.
Dr Dominic Andrew Massary Iii is licensed to practice in Arkansas (license number E-19002) 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 1336553361.
Physician's Profile
Full Name | Dr Dominic Andrew Massary Iii |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 4803 W Highland Knolls Rd Ste 300, Rogers, Arkansas |
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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: 1336553361
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 06/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082835590
- Enrollment ID: I20141027002290
Medical Identifiers
Medical identifiers for Dr Dominic Andrew Massary Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336553361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | LL37201 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RTL19-0635 (North Carolina) | Secondary |
208200000X | Plastic Surgery | E-19002 (Arkansas) | 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. Dr Dominic Andrew Massary Iii 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 |
Dr Dominic Andrew Massary Iii, MD 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Dr Dominic Andrew Massary Iii, MD 4803 W Highland Knolls Rd Ste 300, Rogers, AR 72758-6447 Ph: (479) 265-4746 |
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