Jessica Hatala, DMD is a medicare enrolled "Dentist - General Practice" provider in Lords Valley, Pennsylvania. Her current practice location is
750 Route 739, Lords Valley, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 775-7818.
Jessica Hatala is licensed to practice in Pennsylvania (license number DS042331) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972128791.
Healthcare Provider's Profile
Full Name | Jessica Hatala |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 750 Route 739, Lords Valley, Pennsylvania |
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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: 1972128791
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 07/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779909429
- Enrollment ID: I20200812002700
Medical Identifiers
Medical identifiers for Jessica Hatala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972128791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS042331 (Pennsylvania) | 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. Jessica Hatala 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 |
Jessica Hatala, DMD 1239 Dundaff St, Dickson City, PA 18519-1142 Ph: (570) 604-2611 | Jessica Hatala, DMD 750 Route 739, Lords Valley, PA 18428-6058 Ph: (570) 775-7818 |
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