Individual provider Active NPI

Jeanne M Mase, M.D.

  • Family Medicine Physician
  • E Falmouth, MA
National Provider Identifier
1548210206
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77754 Issued in MA
Practice address
331 E Falmouth Hwy
E Falmouth, MA 02536-6039
Phone
(508) 495-0704
Fax
(508) 495-0293
NPI assigned
May 11, 2006
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77754 MA Primary

Addresses

Primary practice location

331 E Falmouth Hwy
E Falmouth, MA 02536-6039

Mailing address

331 E Falmouth Hwy
E Falmouth, MA 02536-6039
Phone (508) 495-0704

Other identifiers 3

IdentifierTypeStateIssuer
710585OtherHARVARD PILGRIM
3117383MedicaidMA
077754OtherMATUFTS HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000914 MA Practitioner - Family Practice 0244273456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77754MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnold, Inc. CurrentSince Jun 23, 2024 Accepting new patients

Locations

1185 Falmouth Rd
Centerville, MA 02632
Phone (508) 862-9929

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1548210206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E FALMOUTH HWY",
            "city": "E FALMOUTH",
            "state": "MA",
            "postal_code": "025366039",
            "telephone_number": "508-495-0704",
            "fax_number": "508-495-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E FALMOUTH HWY",
            "city": "E FALMOUTH",
            "state": "MA",
            "postal_code": "025366039",
            "telephone_number": "508-495-0704",
            "fax_number": "508-495-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASE",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "77754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "710585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117383",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "077754",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Falmouth, MA

Sources for this page

Verify at the official NPI Registry.