Maryna Petrasheuskaya, DDS | |
1611 State Street, 465, Erie, PA 16501 | |
(814) 456-8548 | |
(814) 455-9015 |
Full Name | Maryna Petrasheuskaya |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1611 State Street, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336438910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS039227 (Pennsylvania) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Community Health Net |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245209170 PECOS PAC ID: 1759290588 Enrollment ID: O20031222000617 |
Mailing Address | Practice Location Address |
---|---|
Maryna Petrasheuskaya, DDS 1202 State St, Erie, PA 16501-1914 Ph: (814) 454-4530 | Maryna Petrasheuskaya, DDS 1611 State Street, 465, Erie, PA 16501 Ph: (814) 456-8548 |
Mr. Timothy Mcmichael Theisen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4330 Peach St, Erie, PA 16509 Phone: 814-315-6209 Fax: 814-315-6303 | |
Mr. Richard Brozewicz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1851 E 38th St, Erie, PA 16510 Phone: 814-825-7444 Fax: 814-825-4924 | |
David A. Dinicola, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3503 Poplar St, Erie, PA 16508 Phone: 814-868-4445 | |
Dr. William D Morosky, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4045 W 12th St, Erie, PA 16505 Phone: 814-838-3045 Fax: 814-833-1736 | |
Stephen D Kupniewski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2330 W 38th St, Erie, PA 16506 Phone: 814-835-8300 Fax: 814-833-2890 | |
Dr. John F Lehrian, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 State St, Suite B102, Erie, PA 16507 Phone: 814-454-3871 Fax: 814-454-6294 | |
Dr. Patrick Andrew Demarco, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1001 State St, Suite 822, Erie, PA 16501 Phone: 814-455-6991 Fax: 814-451-0676 |