| Marisa Mazza, PA-C | |
|
4170 City Ave, Philadelphia, PA 19131-1610 | |
| (215) 262-7037 | |
| Not Available |
| Full Name | Marisa Mazza |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4170 City Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144817230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc | Annapolis, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 540 |
| Entity Name | Luminis Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Entity Name | Orthopedic Physicians of Annapolis LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780824615 PECOS PAC ID: 9032269154 Enrollment ID: O20090611000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Mazza, PA-C 4170 City Ave, Philadelphia, PA 19131-1610 Ph: Not Available | Marisa Mazza, PA-C 4170 City Ave, Philadelphia, PA 19131-1610 Ph: (215) 262-7037 |
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