| Tina Fanelli, | |
|
555 Mill St, Danville, PA 17821-1015 | |
| (610) 223-7777 | |
| Not Available |
| Full Name | Tina Fanelli |
|---|---|
| Gender | Female |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 555 Mill St, Danville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346793163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS040988 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Fanelli, 555 Mill St, Danville, PA 17821-1015 Ph: (610) 223-7777 | Tina Fanelli, 555 Mill St, Danville, PA 17821-1015 Ph: (610) 223-7777 |
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: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6355 Fax: 570-271-5788 |