Dr Tatiana B Sergeev, MD | |
400 22nd Ave., Brookings, SD 57006-2497 | |
(605) 697-9500 | |
(605) 697-6939 |
Full Name | Dr Tatiana B Sergeev |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 400 22nd Ave., Brookings, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770531725 | NPI | - | NPPES |
6701312 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4543 (South Dakota) | Primary |
Entity Name | North Country Hospital & Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
Entity Name | North Country Hospital & Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972634889 PECOS PAC ID: 9739073479 Enrollment ID: O20071203000069 |
Mailing Address | Practice Location Address |
---|---|
Dr Tatiana B Sergeev, MD 400 22nd Ave., Brookings, SD 57006-2497 Ph: (605) 697-9500 | Dr Tatiana B Sergeev, MD 400 22nd Ave., Brookings, SD 57006-2497 Ph: (605) 697-9500 |
Dr. Gerald L. Turner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave., Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Dr. Matt N. Bien, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 |