Natallia Petrushenka, | |
444 Stockbridge Rd, Great Barrington, MA 01230-1295 | |
(413) 528-9311 | |
Not Available |
Full Name | Natallia Petrushenka |
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Gender | Female |
Speciality | Dentist |
Location | 444 Stockbridge Rd, Great Barrington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285334979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN1860022 (Massachusetts) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Community Health Programs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953009 PECOS PAC ID: 5799746608 Enrollment ID: O20041025000193 |
Mailing Address | Practice Location Address |
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Natallia Petrushenka, 1200 Hillside Ave Apt 501, Niskayuna, NY 12309-3559 Ph: (929) 428-1102 | Natallia Petrushenka, 444 Stockbridge Rd, Great Barrington, MA 01230-1295 Ph: (413) 528-9311 |
Lina Maria Bermudez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 343 Main Street, Great Barrington, MA 01230 Phone: 413-528-5565 Fax: 413-528-5564 | |
Dr. Deepak Nainal, DMD Dentist Medicare: Medicare Enrolled Practice Location: 343 Main Street, Great Barrington, MA 01230 Phone: 413-528-5565 Fax: 413-528-5564 | |
Dr. Ismail Adeyemi Jolaoso, D.D.S., M.P.H Dentist Medicare: Not Enrolled in Medicare Practice Location: 343 Main St, Suite 2, Great Barrington, MA 01230 Phone: 413-528-5565 | |
Dr. Michael Mullany, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Pleasant St, Great Barrington, MA 01230 Phone: 413-528-0884 | |
Dr. Frederic Philip Hyman, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 29 Church St, Great Barrington, MA 01230 Phone: 413-528-4680 Fax: 413-528-5394 | |
Datty Sahyouni X, DDS Dentist Medicare: Medicare Enrolled Practice Location: 343 Main St Rear, Great Barrington, MA 01230 Phone: 413-528-5565 |