Dr Mary G Petrick, MD | |
16 Woodbine Lane, Danville, PA 17822-5206 | |
(570) 271-8050 | |
(570) 271-5940 |
Full Name | Dr Mary G Petrick |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 27 Years |
Location | 16 Woodbine Lane, Danville, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639134919 | NPI | - | NPPES |
001866083 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD072732L (Pennsylvania) | Secondary |
207N00000X | Dermatology | MD072732L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Medical Center | Danville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary G Petrick, MD 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144 | Dr Mary G Petrick, MD 16 Woodbine Lane, Danville, PA 17822-5206 Ph: (570) 271-8050 |
Dr. Ramya S Chockalingam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8074 Fax: 570-271-5940 | |
Dr. Victor John Marks, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940 | |
Dr. Cassondra Andreychik Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 570-271-8050 Fax: 570-271-5940 | |
Dr. Victor J Marks, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940 | |
Dr. Misha Matongo Mutizwa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940 | |
Dr. Katherine Chilek Marks, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 115 Woodbine Ln, Danville, PA 17821 Phone: 570-271-8050 Fax: 570-271-5940 | |
Dr. Tammie C Ferringer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6338 Fax: 570-271-6105 |