Individual ProviderStephen B MasonAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address24 Dunder Rd, Burlington, VT 05401-5432(802) 951-9882PECOS EnrollmentThis provider is enrolled in PECOS as STEPHEN MASON.Based on the most recent information from CMS, provider Stephen B Mason is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1922012558Provider TypeIndividualFull NameMason, Stephen BCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/28/2006Last Updated9/10/2008Contact InformationPractice LocationPractice Address24 Dunder Rd, Burlington, VT 05401-5432Phone(802) 951-9882Fax(802) 524-1051Mailing LocationMailing Address24 Dunder Rd, Burlington, VT 05401-5432Phone(802) 951-9882Fax(802) 524-1051Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense042-0009249VermontProvider IdentifiersIDDescriptionIssuerID30205544DescriptionMedicaidIssuerUnlistedNew HampshireIDOVN1301DescriptionMedicaidIssuerUnlistedVermont