Dr Bryan D Petryszak, DMD is a medicare enrolled "Dentist - General Practice" provider in Portville, New York. His current practice location is
149 S Main St, Portville, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 933-6787.
Dr Bryan D Petryszak is licensed to practice in New York (license number NY0502181) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407844426.
Healthcare Provider's Profile
Full Name | Dr Bryan D Petryszak |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 149 S Main St, Portville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407844426
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002130937
- Enrollment ID: I20150123000524
Medical Identifiers
Medical identifiers for Dr Bryan D Petryszak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407844426 | NPI | - | NPPES |
02386001 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | NY0502181 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryan D Petryszak is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bryan D Petryszak, DMD 149 S Main St, Portville, NY 14770-9703 Ph: (716) 933-6787 | Dr Bryan D Petryszak, DMD 149 S Main St, Portville, NY 14770-9703 Ph: (716) 933-6787 |
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