Dr Maria J Tacelosky, DMD | |
107 S Market St, Suite 2, Berwick, PA 18603-4824 | |
(570) 752-8753 | |
(570) 759-6372 |
Full Name | Dr Maria J Tacelosky |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 107 S Market St, Berwick, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639292360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS028716L (Pennsylvania) | Primary |
Entity Name | Scranton Primary Health Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363 |
Mailing Address | Practice Location Address |
---|---|
Dr Maria J Tacelosky, DMD 107 S Market St, Suite 2, Berwick, PA 18603-4824 Ph: (570) 752-8753 | Dr Maria J Tacelosky, DMD 107 S Market St, Suite 2, Berwick, PA 18603-4824 Ph: (570) 752-8753 |
Dr. William Leonard Padner Iii, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 205 Chestnut Street, Berwick, PA 18603 Phone: 570-752-2071 Fax: 570-752-4692 | |
Jean Dorothy Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 807 E 4th St, Berwick, PA 18603 Phone: 570-759-8961 Fax: 570-759-6911 | |
Kenneth R Foster Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 South Market Street, Suite 2, Berwick, PA 18603 Phone: 570-752-8753 Fax: 570-759-6372 | |
Nathaniel W Flook, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 W 9th St, Berwick, PA 18603 Phone: 570-752-4542 Fax: 570-752-6806 | |
Bryan P Carlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 W 9th St, Berwick, PA 18603 Phone: 570-752-4542 Fax: 570-752-6806 | |
Susan D Ermish, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 W 9th St, Berwick, PA 18603 Phone: 570-752-4542 Fax: 570-752-6806 | |
Mary Grace Rizzo, DMD Dentist Medicare: Medicare Enrolled Practice Location: 105 W 9th St, Berwick, PA 18603 Phone: 570-752-4542 Fax: 570-752-6806 |