Tatyana Rybakova, | |
2141 Spencer Ct, La Grange, KY 40031-6742 | |
(502) 589-8600 | |
(502) 589-8771 |
Full Name | Tatyana Rybakova |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2141 Spencer Ct, La Grange, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982615860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 39344 (Kentucky) | Primary |
Entity Name | Seven Counties Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034 |
Mailing Address | Practice Location Address |
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Tatyana Rybakova, 101 W Muhammad Ali Blvd, Louisville, KY 40202-1954 Ph: (502) 589-8600 | Tatyana Rybakova, 2141 Spencer Ct, La Grange, KY 40031-6742 Ph: (502) 589-8600 |
Dr. Scott Thomas Hedges, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8745 | |
Dr. Patrick M Matthiessen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1009 New Moody Ln, La Grange, KY 40031 Phone: 502-222-8503 | |
Eric Lesch, Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1612 Dawkins Rd, La Grange, KY 40031 Phone: 502-222-7161 | |
Charles Richard Noplis Ii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-222-7201 Fax: 502-222-7486 | |
Dr. Amy Jacqueline Trivette, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1612 Dawkins Rd, Box 67, La Grange, KY 40031 Phone: 502-222-7161 Fax: 502-222-7798 |