Dr Tatyana O Yetto, MD is a medicare enrolled "Dermatology" physician in Bremerton, Washington. Her current practice location is
1 Boone Rd, Bremerton, Washington. You can reach out to her office (for appointments etc.) via phone at
(619) 532-9660.
Dr Tatyana O Yetto is licensed to practice in Virginia (license number 0101252505) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558657031.
Physician's Profile
Full Name | Dr Tatyana O Yetto |
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Gender | Female |
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Speciality | Dermatology |
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Location | 1 Boone Rd, Bremerton, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558657031
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 05/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587994801
- Enrollment ID: I20220909000658
Medical Identifiers
Medical identifiers for Dr Tatyana O Yetto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558657031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 159905 (California) | Secondary |
207N00000X | Dermatology | 0101252505 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tatyana O Yetto allows following entities to bill medicare on her behalf.
Entity Name | Dermatology Specialists Of Fort Worth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417434119 PECOS PAC ID: 4587917117 Enrollment ID: O20181030000722 |
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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. Dr Tatyana O Yetto is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tatyana O Yetto, MD 8901 Wisconsin Ave, Bethesda, MD 20889-0001 Ph: () - | Dr Tatyana O Yetto, MD 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (619) 532-9660 |
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