Tatyana Kopilova, MD in Santa Rosa, CA

Tatyana Kopilova, MD is a medicare enrolled "Surgery" physician in Santa Rosa, California. Her current practice location is 401 Bicentennial Way Fl 22, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 393-3321.

Tatyana Kopilova is licensed to practice in California (license number 159268) 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 1841712817.

Contact Information

	Tatyana Kopilova, MD
	401 Bicentennial Way Fl 22, Santa Rosa, CA 95403-2149
	(707) 393-3321
	Not Available

Map and Direction

Physician's Profile

Full Name	Tatyana Kopilova
Gender	Female
Speciality	Surgery
Location	401 Bicentennial Way Fl 22, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841712817
Provider Enumeration Date: 07/12/2017
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 4789052556
Enrollment ID: I20221129001469

Medical Identifiers

Medical identifiers for Tatyana Kopilova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841712817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	159268 (California)	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. Tatyana Kopilova allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Tatyana Kopilova 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
Tatyana Kopilova, MD 400 West Pueblo Street, Santa Barbara Cottage Hospital, Santa Barbara, CA 93104 Ph: (805) 569-7316	Tatyana Kopilova, MD 401 Bicentennial Way Fl 22, Santa Rosa, CA 95403-2149 Ph: (707) 393-3321

Reviews and Comments

Surgery Doctors in Santa Rosa, CA

Dr. Sabrina Ann Kidd, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
George M. Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Lucinda Romero, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Elizabeth A Peralta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403 Phone: 707-521-8900 Fax: 707-523-1309
Brian Frederick Schmidt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 4th St, Ste 200, Santa Rosa, CA 95404 Phone: 707-579-2100 Fax: 707-523-0616
Brett J Schulte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St Ste 201, Santa Rosa, CA 95405 Phone: 707-579-2100 Fax: 707-523-0616
Keith Forrest Korver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403 Phone: 707-569-7860 Fax: 707-545-5408

Tatyana Kopilova, MD - Medicare Surgery in Santa Rosa, CA