Viktorija Grajevskaja, | |
45 N Pine St, Port Allegany, PA 16743-1238 | |
(814) 642-7232 | |
Not Available |
Full Name | Viktorija Grajevskaja |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 45 N Pine St, Port Allegany, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730752619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS043320 (Pennsylvania) | Primary |
Entity Name | Charles Cole Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20040310001269 |
Mailing Address | Practice Location Address |
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Viktorija Grajevskaja, 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: () - | Viktorija Grajevskaja, 45 N Pine St, Port Allegany, PA 16743-1238 Ph: (814) 642-7232 |
Dr. Venkata Rama Krishna Rao Adusumilli, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 N Pine St, Port Allegany, PA 16743 Phone: 814-642-7232 Fax: 814-642-7322 | |
Mark P Carlson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 37 Pearl St, Port Allegany, PA 16743 Phone: 814-642-2661 Fax: 814-642-9388 | |
Dr. Philip L Carlson Jr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 37 Pearl St, Port Allegany, PA 16743 Phone: 814-642-2661 Fax: 814-642-9388 | |
Dr. Richard A Kunkel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 316 E Arnold Ave, Port Allegany, PA 16743 Phone: 814-642-2400 | |
Nathan P Carlson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 37 Pearl St, Port Allegany, PA 16743 Phone: 814-642-2661 Fax: 814-642-9388 |