Dr Max Kernizan, DMD | |
382 N Main St, East Longmeadow, MA 01028-1828 | |
(413) 525-0100 | |
Not Available |
Full Name | Dr Max Kernizan |
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Gender | Male |
Speciality | Oral Surgery |
Experience | 7 Years |
Location | 382 N Main St, East Longmeadow, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811334493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1857556 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
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Baystate Medical Center | Springfield, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maxillofacial And Implant Surgery Of Western Mass Pc | 1951710177 | 2 |
Entity Name | Facial Cosmetic & Maxillofacial Surgery P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417155276 PECOS PAC ID: 3072584853 Enrollment ID: O20040804001241 |
Entity Name | Maxillofacial & Implant Surgery Of Western Mass Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134716640 PECOS PAC ID: 1951710177 Enrollment ID: O20210429000787 |
Mailing Address | Practice Location Address |
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Dr Max Kernizan, DMD 1210 Chapel St, New Haven, CT 06511-4702 Ph: () - | Dr Max Kernizan, DMD 382 N Main St, East Longmeadow, MA 01028-1828 Ph: (413) 525-0100 |
Dr. Malay T Parekh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 250 N Main St # A, East Longmeadow, MA 01028 Phone: 413-224-1493 | |
Richard Joseph Fraziero, DMD MD Dentist Medicare: Medicare Enrolled Practice Location: 382 North Main Street, Suite 202, East Longmeadow, MA 01028 Phone: 413-525-0100 Fax: 413-525-8608 | |
Dr. Boriana Canby, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 294 N Main St, East Longmeadow, MA 01028 Phone: 413-525-9500 | |
Dr. Amy G St.germain, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Pleasant St, East Longmeadow, MA 01028 Phone: 413-525-0955 Fax: 413-517-0003 | |
Dr. Vincent A Trimboli Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 52 N Main St, East Longmeadow, MA 01028 Phone: 413-537-0430 | |
Dr. Tomasz A Chrzan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Shaker Rd, East Longmeadow, MA 01028 Phone: 413-525-3000 Fax: 413-525-3004 | |
Dr. Jennifer Gavrillen Walsh, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 200 N Main St, Suite 1104, East Longmeadow, MA 01028 Phone: 413-525-6123 Fax: 413-525-8999 |