Tatyana Lytkina, PA is a
Physician Assistant - Medical based in Fortdefiance, Arizona. Tatyana Lytkina is licensed to practice in Florida (license number PA9101950) and her current practice location is
Corner Of Route N12 And N7, Fortdefiance, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 729-8132.
NPI number for Tatyana Lytkina is 1255531042 and her current mailing address is Po Box 589, Fort Defiance, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255531042.
Provider's Profile
Full Name | Tatyana Lytkina |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | Corner Of Route N12 And N7, Fortdefiance, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255531042
- Provider Enumeration Date: 07/20/2007
- Last Update Date: 11/10/2016
Medical Identifiers
Medical identifiers for Tatyana Lytkina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255531042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA9101950 (Florida) | Primary |
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 Lytkina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tatyana Lytkina, PA Po Box 589, Fort Defiance, AZ 86504-0589 Ph: (727) 515-5743 | Tatyana Lytkina, PA Corner Of Route N12 And N7, Fortdefiance, AZ 86504 Ph: (928) 729-8132 |
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