Kevin Mazzola, PHD in Concord, MA - Medicare Psychologist Provider

Kevin Mazzola, PHD is a medicare enrolled "Psychologist - Clinical" provider in Concord, Massachusetts. His current practice location is 30 Monument Sq Ste 150, Concord, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 661-1100.

Kevin Mazzola is licensed to practice in Massachusetts (license number PSY10000169) 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 1215758727.

Contact Information

	Kevin Mazzola, PHD
	30 Monument Sq Ste 150, Concord, MA 01742-1858
	(617) 661-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Mazzola
Gender	Male
Speciality	Psychologist - Clinical
Location	30 Monument Sq Ste 150, Concord, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215758727
Provider Enumeration Date: 10/18/2024
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 4082144274
Enrollment ID: I20250203002097

Medical Identifiers

Medical identifiers for Kevin Mazzola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215758727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY10000169 (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. Kevin Mazzola allows following entities to bill medicare on his behalf.

Entity Name	Child And Family Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004

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. Kevin Mazzola 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
Kevin Mazzola, PHD 34 Thornton Rd, Chestnut Hill, MA 02467-3611 Ph: (201) 835-5580	Kevin Mazzola, PHD 30 Monument Sq Ste 150, Concord, MA 01742-1858 Ph: (617) 661-1100

Reviews and Comments

Psychologist in Concord, MA

Dr. Lauren J Brown, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 81 Commonwealth Ave, Suite 8, Concord, MA 01742 Phone: 978-369-3297 Fax: 978-369-3179
Dr. Karen Jo Giammusso Shapiro, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 59 N Branch Rd, Concord, MA 01742 Phone: 336-587-1972
Leah Beth Benjamin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 747 Main St Ste 324, Concord, MA 01742 Phone: 978-405-2541
Dr. Janet Perry Bailey, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Damonmill Sq, Concord, MA 01742 Phone: 978-287-4300 Fax: 978-369-0400
Melanie Feldman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Main St Ste 7, Concord, MA 01742 Phone: 617-539-6762
Elizabeth L Reuman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Damonmill Sq, Suite 4c, Concord, MA 01742 Phone: 508-527-0039
Kaya Schmandt, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 747 Main St, Concord, MA 01742 Phone: 978-401-4429

Kevin Mazzola, PHD - Medicare Psychologist in Concord, MA