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Anna Marie Pogoncheff

Dentist

Dental Providers

2628 Lake Lansing Rd, Suite 101, Lansing, MI 48912-3668

PECOS Enrollment

This provider is enrolled in PECOS as ANNA POGONCHEFF.

Based on the most recent information from CMS, provider Anna Marie Pogoncheff is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:23 PM.

Profile Details

Provider ID
1154768414
Provider Type
Individual
Full Name
Pogoncheff, Anna Marie
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
No
Enumeration Date
5/28/2013
Last Updated
5/12/2016

Contact Information

Practice Location

2628 Lake Lansing Rd, Suite 101, Lansing, MI 48912-3668

(517) 420-8893

(517) 482-5637

Mailing Location

2628 Lake Lansing Rd, Ste 101, Lansing, MI 48912-3668

(517) 482-5636

(517) 482-5637

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 2901020956 Michigan

Anna Marie Pogoncheff

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kapadia, Kiran

Gill Dental Pc

Hall-Tate, Lauren Ann

Pogoncheff, Carl M

Pogoncheff, John Metodi

Bdd Of Michigan P.C.

Holly Scott-Hetchler, Dds, Pc

Erhard, Robert W.

Bdd Of Michigan P.C.

Volunteers Of America Michigan