Nataliia Lysa, DDS in Berlin, CT - Dentist

Nataliia Lysa, DDS is a Dentist based in Berlin, Connecticut. Nataliia Lysa is licensed to practice in Connecticut (license number 12541) and her current practice location is 39 Webster Square Rd, Berlin, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 828-3933.

NPI number for Nataliia Lysa is 1154975068 and her current mailing address is 573 George St Apt 3, New Haven, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154975068.

Contact Information

	Nataliia Lysa, DDS
	39 Webster Square Rd, Berlin, CT 06037-2326
	(860) 828-3933
	Not Available

Healthcare Provider's Profile

Full Name	Nataliia Lysa
Gender	Female
Speciality	Dentist
Location	39 Webster Square Rd, Berlin, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1154975068
Provider Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019

Medical Identifiers

Medical identifiers for Nataliia Lysa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154975068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12541 (Connecticut)	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. Nataliia Lysa 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
Nataliia Lysa, DDS 573 George St Apt 3, New Haven, CT 06511-5371 Ph: (203) 214-9707	Nataliia Lysa, DDS 39 Webster Square Rd, Berlin, CT 06037-2326 Ph: (860) 828-3933

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Dentist in Berlin, CT

Dr. Dennis S Gianoli, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Webster Square Road, Berlin, CT 06037 Phone: 860-828-3559 Fax: 860-828-1485
Dr. Dennis Karl Pezzolesi Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 39 Webster Square Rd, Berlin, CT 06037 Phone: 860-828-3933 Fax: 860-828-1610
Gonzalo Romo De Miguel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5 Webster Square Rd, Berlin, CT 06037 Phone: 860-828-3559
Dr. Jadee Sheree Abbott, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 39 Webster Square Rd, Berlin, CT 06037 Phone: 860-828-3933

Nataliia Lysa, DDS - Dentist in Berlin, CT