Ruben Ngnitewe Massa A, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Sun Prairie, Wisconsin. His current practice location is
1281 Twisted Branch Way, Sun Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(913) 980-3405.
Ruben Ngnitewe Massa A is licensed to practice in Wisconsin (license number 8241820) 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 1003430950.
Physician's Profile
| Full Name | Ruben Ngnitewe Massa A |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1281 Twisted Branch Way, Sun Prairie, Wisconsin |
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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: 1003430950
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 02/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254752793
- Enrollment ID: I20230929001485
Medical Identifiers
Medical identifiers for Ruben Ngnitewe Massa A such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003430950 | NPI | - | NPPES |
| 2020014721 | Other | MO | MO BOARD OF HEALING ARTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301515674 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD228042 (Oregon) | Secondary |
| 208D00000X | General Practice | 82418-20 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD.52956 (Alabama) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD29939 (Maine) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 38889 (New Hampshire) | Secondary |
| 208600000X | Surgery | 2020014721 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 8241820 (Wisconsin) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01098657A (Indiana) | Secondary |
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. Ruben Ngnitewe Massa A allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
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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. Ruben Ngnitewe Massa A 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 |
Ruben Ngnitewe Massa A, MD 1281 Twisted Branch Way, Sun Prairie, WI 53590-9012 Ph: (913) 980-3405 | Ruben Ngnitewe Massa A, MD 1281 Twisted Branch Way, Sun Prairie, WI 53590-9012 Ph: (913) 980-3405 |
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