| Natallia Petrushenka, | |
| 
					444 Stockbridge Rd, Great Barrington, MA 01230-1295  | |
| (413) 528-9311 | |
| Not Available | 
| Full Name | Natallia Petrushenka | 
|---|---|
| Gender | Female | 
| Speciality | Dentist | 
| Location | 444 Stockbridge Rd, Great Barrington, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285334979 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | DN1860022 (Massachusetts) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Community Health Programs Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013953009 PECOS PAC ID: 5799746608 Enrollment ID: O20041025000193  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Natallia Petrushenka, 1200 Hillside Ave Apt 501, Niskayuna, NY 12309-3559 Ph: (929) 428-1102  | Natallia Petrushenka, 444 Stockbridge Rd, Great Barrington, MA 01230-1295 Ph: (413) 528-9311  | 
Lina Maria Bermudez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 343 Main Street, Great Barrington, MA 01230 Phone: 413-528-5565 Fax: 413-528-5564  | |
Maria Sierra,  Dentist Medicare: Not Enrolled in Medicare Practice Location: 444 Stockbridge Rd, Great Barrington, MA 01230 Phone: 413-528-5565  | |
Dr. Deepak Nainal, DMD Dentist Medicare: Medicare Enrolled Practice Location: 343 Main Street, Great Barrington, MA 01230 Phone: 413-528-5565 Fax: 413-528-5564  | |
Dr. Michael Mullany, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Pleasant St, Great Barrington, MA 01230 Phone: 413-528-0884  | |
Dr. Frederic Philip Hyman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Church St, Great Barrington, MA 01230 Phone: 413-528-4680 Fax: 413-528-5394  | |
Datty Sahyouni X, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 343 Main St Rear, Great Barrington, MA 01230 Phone: 413-528-5565  |