| Katsiaryna Landviger, | |
|
2665 Homecrest Ave Apt 2j, Brooklyn, NY 11235-4533 | |
| (347) 968-4809 | |
| Not Available |
| Full Name | Katsiaryna Landviger |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2665 Homecrest Ave Apt 2j, Brooklyn, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710497599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn State Health Holy Spirit Medical Center | Camp hill, PA | Hospital |
| Penn State Health Hampden Medical Center | Enola, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Medical Group Llc | 8729351077 | 720 |
| Entity Name | Penn State Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Katsiaryna Landviger, 2665 Homecrest Ave Apt 2j, Brooklyn, NY 11235-4533 Ph: (347) 968-4809 | Katsiaryna Landviger, 2665 Homecrest Ave Apt 2j, Brooklyn, NY 11235-4533 Ph: (347) 968-4809 |
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