| Dr John Philip Mastandrea, MD | |
|
509 Idlewild Ave, Easton, MD 21601-3825 | |
| (410) 820-6411 | |
| (410) 820-4229 |
| Full Name | Dr John Philip Mastandrea |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 43 Years |
| Location | 509 Idlewild Ave, Easton, Maryland |
| 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 |
|---|---|---|---|
| 1518999697 | NPI | - | NPPES |
| 088861300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 83159 (South Carolina) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | D0036644 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Umd Shore Medical Center At Easton | Easton, MD | Hospital |
| University Of Md Shore Medical Ctr At Chestertown | Chestertown, MD | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Medical Group-midlands | 5991099707 | 1032 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Philip Mastandrea, MD 509 Idlewild Ave, Easton, MD 21601-3889 Ph: (410) 924-0174 | Dr John Philip Mastandrea, MD 509 Idlewild Ave, Easton, MD 21601-3825 Ph: (410) 820-6411 |
Mr. Matthew Kraft, RT (R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 | |
Ali Farzan Jon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 | |
Stephen Charles Brigham, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 Fax: 410-820-6579 | |
Dr. David Payne Smith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 Fax: 410-749-1270 | |
Christian Taylor Evans, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 Fax: 410-820-6579 | |
Eva Maria Smorzaniuk, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 Fax: 410-820-6579 | |
Kevin James Gately, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 219 S Washington St, Easton, MD 21601 Phone: 410-822-1000 Fax: 410-749-1270 |