Dr Maria J Tacelosky, DMD in Danville, PA - Medicare Dentist Provider

Dr Maria J Tacelosky, DMD is a medicare enrolled "Dentist - General Practice" provider in Danville, Pennsylvania. Her current practice location is 100 N Academy Ave, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 271-6355.

Dr Maria J Tacelosky is licensed to practice in Pennsylvania (license number DS028716L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639292360.

Contact Information

	Dr Maria J Tacelosky, DMD
	100 N Academy Ave, Danville, PA 17822-9800
	(570) 271-6355
	(570) 271-5788

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Maria J Tacelosky
Gender	Female
Speciality	Dentist - General Practice
Location	100 N Academy Ave, Danville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639292360
Provider Enumeration Date: 04/09/2007
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 6103146147
Enrollment ID: I20181030001905

Medical Identifiers

Medical identifiers for Dr Maria J Tacelosky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639292360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DS028716L (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Maria J Tacelosky allows following entities to bill medicare on her behalf.

Entity Name	Scranton Primary Health Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363

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. Dr Maria J Tacelosky 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
Dr Maria J Tacelosky, DMD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6355	Dr Maria J Tacelosky, DMD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6355

Reviews and Comments

Dentist in Danville, PA

Kirk H. Johnson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788
Ms. Monica Hanna, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355
Dr. Stacie Maximiek Mitchell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 310 Pine St, Danville, PA 17821 Phone: 570-275-2600
Dr. James Moses, Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788
Anne Shaffer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211
Dr. Robert N. Seebold, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355
Alexander Lee, Dentist Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788

Dr Maria J Tacelosky, DMD - Medicare Dentist in Danville, PA