WILLIARD MAZHAWIDZA (PA) – Physician Assistant, NPI 1477923084
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for WILLIARD MAZHAWIDZA (PA)
13738 CHASE ST
CROWN POINT, IN 463079774
Phone: (270) 244-3829
Type: Mailing
PO BOX 23229
OWENSBORO, KY 423043229
Phone: (270) 417-7500
Fax: (270) 417-7529
Type: Mailing
1301 PLEASANT VALLEY RD
SUITE 201
OWENSBORO, KY 423039774
Phone: (270) 417-7500
Fax: (270) 417-7529
Type: Location
5841 S Maryland Ave
Chicago, IL 606371443
Phone: (888) 824-0200
Type: Location
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,593.
Total Amount is formed as General ($1,593) + Research ($0) + Ownership ($0) = $1,593.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Getinge USA Sales, LLC ($1,342).
Total Amount
$1,593
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,593
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Getinge USA Sales, LLC | $1,342 |
| Abbott Laboratories | $227 |
| Merck Sharp & Dohme LLC | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180801003890 | I | Physician Assistant | IL | TBD |
| I20190513000318 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | 12 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 12 | 12 | $0 |
| 33508 | Harvest of vein using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| U R O L O G Y | FL | |
| Physician Assistant | MN | |
| Nurse Practitioner | IN |
Reviews
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