Susan E Young, DDS | |
2807 Wilmington Rd, New Castle, PA 16105-1263 | |
(724) 656-3486 | |
(724) 598-7337 |
Full Name | Susan E Young |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 2807 Wilmington Rd, New Castle, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225015126 | NPI | - | NPPES |
1014835950004 | Medicaid | PA | |
1014835950003 | Medicaid | PA | |
2609449 | Medicaid | OH | |
1014835950001 | Medicaid | PA | |
1014835950005 | Medicaid | PA | |
1014835950006 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS0000006900 (Tennessee) | Secondary |
122300000X | Dentist | DS036634 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Susan E Young, DDS 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 656-3486 | Susan E Young, DDS 2807 Wilmington Rd, New Castle, PA 16105-1263 Ph: (724) 656-3486 |
Maggie Jane Prokovich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2807 Wilmington Rd, New Castle, PA 16105 Phone: 724-656-3486 | |
Dr. Cailen Marie Blaire, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Fairhill Dr, New Castle, PA 16105 Phone: 724-658-2055 | |
Mark A Moses, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11 Shenango Rd, New Castle, PA 16105 Phone: 724-656-1510 Fax: 724-656-4908 | |
Dr. Ryan P Nebel, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3105 Wilmington Rd, New Castle, PA 16105 Phone: 724-654-2330 Fax: 724-658-3719 | |
Dr. Terry E Massie, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 E Grant St, New Castle, PA 16101 Phone: 724-654-3221 Fax: 724-654-3265 | |
Dr. Richard M Ribarevski, Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 W Fairmont Ave, New Castle, PA 16105 Phone: 724-654-8900 | |
Dr. Maria Bonasso Mezzanotte, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 20 S Mercer St, New Castle, PA 16101 Phone: 724-658-5883 |