Jonathan Mazur, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in New Bedford, Massachusetts. His current practice location is
101 Page St, New Bedford, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 973-5469.
Jonathan Mazur is licensed to practice in Massachusetts (license number 75545) 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 1497865414.
Physician's Profile
| Full Name | Jonathan Mazur |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 101 Page St, New Bedford, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497865414
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 01/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850386376
- Enrollment ID: I20040415000607
Medical Identifiers
Medical identifiers for Jonathan Mazur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497865414 | NPI | - | NPPES |
| 3079538 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 12002 (New Hampshire) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 75545 (Massachusetts) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 12002 (New Hampshire) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 75545 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Mazur allows following entities to bill medicare on his behalf.
| Entity Name | Southcoast Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20040920000138 |
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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. Jonathan Mazur 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 |
|---|
Jonathan Mazur, MD
200 Mill Rd Ste 180,
Fairhaven, MA 02719-5255
Ph: (508) 973-2000 | Jonathan Mazur, MD
101 Page St,
New Bedford, MA 02740-3464
Ph: (508) 973-5469 |
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