| Maggie Jane Prokovich, | |
|
8620 Duncan Ave, Pittsburgh, PA 15237-5884 | |
| (412) 367-2250 | |
| Not Available |
| Full Name | Maggie Jane Prokovich |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 8620 Duncan Ave, Pittsburgh, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003657164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS044659 (Pennsylvania) | Primary |
| Entity Name | Primary Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Maggie Jane Prokovich, 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (717) 447-0340 | Maggie Jane Prokovich, 8620 Duncan Ave, Pittsburgh, PA 15237-5884 Ph: (412) 367-2250 |
Dr. Jennifer Kriste Dalton, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 8135 Perry Hwy, Pittsburgh, PA 15237 Phone: 412-364-6364 | |
Dr. Steve James Kukunas, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3500 Fifth Avenue, Suite 301, Pittsburgh, PA 15213 Phone: 412-681-5221 Fax: 412-681-5221 | |
Dr. Alexander John Debernardo, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 3501 Terrace St, 32 Salk Hall, Pittsburgh, PA 15261 Phone: 412-648-8604 | |
Christine A Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 Towne Square Way, Pittsburgh, PA 15227 Phone: 412-885-3250 Fax: 412-885-3785 | |
Dr. Michael John Wolff, DMD Dentist Medicare: Medicare Enrolled Practice Location: 369 Butler St, Pittsburgh, PA 15223 Phone: 412-784-0228 Fax: 412-784-0487 | |
Dr. George G. Bellios, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3247 W Liberty Ave, Pittsburgh, PA 15216 Phone: 412-344-5288 Fax: 412-344-4388 |