Michael Richard Shelestak, DMD is a
Dentist - General Practice based in West Middlesex, Pennsylvania. Michael Richard Shelestak is licensed to practice in Ohio (license number 30024581) and his current practice location is
3115 Main St, West Middlesex, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 528-1515.
NPI number for Michael Richard Shelestak is 1396158986 and his current mailing address is Po Box 636896, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396158986.
Healthcare Provider's Profile
Full Name | Michael Richard Shelestak |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 3115 Main St, West Middlesex, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396158986
- Provider Enumeration Date: 06/11/2014
- Last Update Date: 04/09/2021
Medical Identifiers
Medical identifiers for Michael Richard Shelestak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396158986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS040096 (Pennsylvania) | Secondary |
1223G0001X | Dentist - General Practice | FS4701428 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | 30024581 (Ohio) | Primary |
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 Richard Shelestak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Richard Shelestak, DMD Po Box 636896, Cincinnati, OH 45263-6896 Ph: (330) 884-7158 | Michael Richard Shelestak, DMD 3115 Main St, West Middlesex, PA 16159-3411 Ph: (724) 528-1515 |
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