DR. DOMINIC LOUIS MAZZA M.D.
NPI 1265650063
Psychiatry & Neurology - Psychosomatic Medicine in Archbald, PA
- Individual
- Male
- Psychiatry & Neurology
- Psychosomatic Medicine
- PECOS Enrolled
- Opted-Out Medicare
About DOMINIC MAZZA
This page provides the complete NPI Profile along with additional information for Dominic Mazza, a provider established in Archbald, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in psychosomatic medicine . The healthcare provider is registered in the NPI registry with number 1265650063 assigned on April 2007. The practitioner's primary taxonomy code is 2084P0015X with license number 04318E (PA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1265650063 Verify this NPI
- Provider Name
- DR. DOMINIC LOUIS MAZZA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 398 KENNEDY DR ARCHBALD, PA 18403
- Location Phone
- (570) 876-1663
- Location Fax
- (570) 876-8223
- Mailing Address
- 398 KENNEDY DR ARCHBALD, PA 18403
- Mailing Phone
- (570) 876-1663
- Mailing Fax
- (570) 876-8223
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-24-2007
- Last Update Date
- 02-17-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Dominic Mazza opted out of Medicare effective on 10-01-2016 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychosomatic Medicine
- Taxonomy Code
- 2084P0015X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 04318E
- License State
- PA
- Taxonomy Description
- Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C89090 | MEDICARE UPIN (02) | PA |
Medicare Participation & PECOS Enrollment Status
Dominic Mazza is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2016
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265650063, enumerated as an "individual" on April 24, 2007.
The provider is located at 398 KENNEDY DR ARCHBALD, PA 18403 and the phone number is (570) 876-1663.
Psychiatry & Neurology with taxonomy code 2084P0015X and a focus in Psychosomatic Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
