| Dustin Jeffrey Wasylik, DO | |
|
5655 Monclova Rd, Maumee, OH 43537-1870 | |
| (419) 357-3359 | |
| Not Available |
| Full Name | Dustin Jeffrey Wasylik |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 11 Years |
| Location | 5655 Monclova Rd, Maumee, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083027346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 293780 (New York) | Secondary |
| 207W00000X | Ophthalmology | 81143 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Washington Eye Care Center, Llc | 9931238094 | 5 |
| Entity Name | Mary Washington Eye Care Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720301625 PECOS PAC ID: 9931238094 Enrollment ID: O20100527000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Jeffrey Wasylik, DO 363 Arrowhead Dr, Perrysburg, OH 43551-6355 Ph: (419) 357-3359 | Dustin Jeffrey Wasylik, DO 5655 Monclova Rd, Maumee, OH 43537-1870 Ph: (419) 357-3359 |
Kristopher J Kelly, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 5655 Monclova Rd, Maumee, OH 43537 Phone: 419-893-4883 Fax: 419-893-2312 | |
Mrs. Carol R Kollarits, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3509 Briarfield Blvd, Maumee, OH 43537 Phone: 419-865-3866 Fax: 419-865-3451 | |
Dr. John Gregory Rosenthal, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 5757 Monclova Rd Ste 11, Maumee, OH 43537 Phone: 419-873-6800 Fax: 419-873-6804 |