Dr Patricia Ayoola Oyetakin, MD | |
296 Saint Charles Way, York, PA 17402-4648 | |
(717) 812-5050 | |
(717) 741-2427 |
Full Name | Dr Patricia Ayoola Oyetakin |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 296 Saint Charles Way, York, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740592575 | NPI | - | NPPES |
103152878 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 96680 (Georgia) | Primary |
Entity Name | Medical Dermatology Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544679 PECOS PAC ID: 0244463040 Enrollment ID: O20140501001470 |
Mailing Address | Practice Location Address |
---|---|
Dr Patricia Ayoola Oyetakin, MD 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 Ph: (404) 939-9220 | Dr Patricia Ayoola Oyetakin, MD 296 Saint Charles Way, York, PA 17402-4648 Ph: (717) 812-5050 |
Mrs. Bethann Lizzi, CRNP Dermatology Medicare: Medicare Enrolled Practice Location: 400 Pine Grove Cmns, York, PA 17403 Phone: 717-755-4422 | |
Dr. Heather Leanne Salvaggio, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 205 Saint Charles Way, York, PA 17402 Phone: 717-741-4666 Fax: 717-741-0538 | |
Samantha Haraszti, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 296 Saint Charles Way, York, PA 17402 Phone: 717-812-5050 | |
Stacy Klepeiss, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 205 Saint Charles Way, York, PA 17402 Phone: 717-741-4666 Fax: 717-741-9649 | |
Karen Marie Waltz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1934 Security Drive, York, PA 17402 Phone: 717-741-3761 Fax: 717-741-9495 | |
Dr. Theresa Zaleski, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 296 Saint Charles Way, York, PA 17402 Phone: 717-812-5050 Fax: 717-741-2427 | |
Dr. Natalie Ivana Bene, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 Pine Grove Cmns, York, PA 17403 Phone: 717-755-4422 Fax: 717-755-2390 |