Mrs Ann B Petrillo, DDS is a
Dentist - General Practice based in Plymouth, Pennsylvania. Mrs Ann B Petrillo is licensed to practice in Pennsylvania (license number DS-023131-L) and her current practice location is
580 E Main St, Plymouth, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 779-5325.
NPI number for Mrs Ann B Petrillo is 1518096627 and her current mailing address is 580 E Main St, Plymouth, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518096627.
Healthcare Provider's Profile
Full Name | Mrs Ann B Petrillo |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 580 E Main St, Plymouth, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518096627
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Ann B Petrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518096627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS-023131-L (Pennsylvania) | 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. Mrs Ann B Petrillo 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 |
Mrs Ann B Petrillo, DDS 580 E Main St, Plymouth, PA 18651-3123 Ph: (570) 779-5325 | Mrs Ann B Petrillo, DDS 580 E Main St, Plymouth, PA 18651-3123 Ph: (570) 779-5325 |
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