Michael J Pietrusik, DPM is a medicare enrolled "Podiatrist" provider in Lackawanna, New York. He went to Kent State University College Of Podiatric Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Podiatry. His current practice location is
3277 South Park Avenue, Lackawanna, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 822-3411.
Michael J Pietrusik is licensed to practice in New York (license number NOO36341) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1356368864.
Healthcare Provider's Profile
| Full Name | Michael J Pietrusik |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 41 Years |
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| Location | 3277 South Park Avenue, Lackawanna, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael J Pietrusik attended and graduated from Kent State University College Of Podiatric Medicine in 1983
NPI Data:
- NPI Number: 1356368864
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 10/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 1850395682
- Enrollment ID: I20060908000172
Medical Identifiers
Medical identifiers for Michael J Pietrusik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356368864 | NPI | - | NPPES |
| 00845978 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | NOO36341 (New York) | Primary |
Medical Facilities Affiliation
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael J Pietrusik is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael J Pietrusik, DPM
3277 South Park Avenue,
Lackawanna, NY 14218-3527
Ph: (716) 822-3411 | Michael J Pietrusik, DPM
3277 South Park Avenue,
Lackawanna, NY 14218-3527
Ph: (716) 822-3411 |
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