Electa O'leathea Mason, is a
Massage Therapist based in Windsor Mill, Maryland. Electa O'leathea Mason is licensed to practice in Maryland (license number M04812) and her current practice location is
7004 Security Blvd Ste 300-a21, Windsor Mill, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 620-8865.
NPI number for Electa O'leathea Mason is 1821656117 and her current mailing address is 7004 Security Blvd Ste 300-a21, Windsor Mill, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821656117.
Healthcare Provider's Profile
Full Name | Electa O'leathea Mason |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 7004 Security Blvd Ste 300-a21, Windsor Mill, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821656117
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Electa O'leathea Mason such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821656117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | M04812 (Maryland) | 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. Electa O'leathea Mason is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Electa O'leathea Mason, 7004 Security Blvd Ste 300-a21, Windsor Mill, MD 21244-2557 Ph: (410) 620-8865 | Electa O'leathea Mason, 7004 Security Blvd Ste 300-a21, Windsor Mill, MD 21244-2557 Ph: (410) 620-8865 |
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