Dr Albert M Stush Jr, DMD | |
100 N Academy Ave, Danville, PA 17822-9243 | |
(570) 271-6144 | |
(570) 271-6578 |
Full Name | Dr Albert M Stush Jr |
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Gender | Male |
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629385638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS021310L (Pennsylvania) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS021310L (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
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Dr Albert M Stush Jr, DMD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Albert M Stush Jr, DMD 100 N Academy Ave, Danville, PA 17822-9243 Ph: (570) 271-6144 |
Kirk H. Johnson, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788 | |
Ms. Monica Hanna, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 | |
Dr. Stacie Maximiek Mitchell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 310 Pine St, Danville, PA 17821 Phone: 570-275-2600 | |
Dr. James Moses, Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788 | |
Anne Shaffer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Dr. Robert N. Seebold, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 | |
Alexander Lee, Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788 |