Dr Richard W Mason, DO is a medicare enrolled "Surgery" physician in Sandwich, Illinois. His current practice location is
1 E Countyline Rd, Sandwich, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 786-2722.
Dr Richard W Mason is licensed to practice in Illinois (license number 03682889) 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 1003809625.
Physician's Profile
| Full Name | Dr Richard W Mason |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1 E Countyline Rd, Sandwich, Illinois |
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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: 1003809625
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 01/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274594924
- Enrollment ID: I20090107000138
Medical Identifiers
Medical identifiers for Dr Richard W Mason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003809625 | NPI | - | NPPES |
| 1921614 | Other | IL | BC/BS |
| 036082819 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 03682889 (Illinois) | 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. Dr Richard W Mason allows following entities to bill medicare on his behalf.
| Entity Name | Edward Health Ventures |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
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| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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. Dr Richard W Mason 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 Richard W Mason, DO 10 Martin Ave Ste 225, Naperville, IL 60540-6590 Ph: (630) 355-5633 | Dr Richard W Mason, DO 1 E Countyline Rd, Sandwich, IL 60548-2178 Ph: (815) 786-2722 |
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