Tatyana V Bakhtinova, PA is a
Physician Assistant based in Lake Forest Park, Washington. Tatyana V Bakhtinova is licensed to practice in * (Not Available) (license number ) and her current practice location is
17191 Bothell Way Ne, Lake Forest Park, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 364-8272.
NPI number for Tatyana V Bakhtinova is 1710916846 and her current mailing address is 17191 Bothell Way Ne, Lake Forest Park, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710916846.
Provider's Profile
Full Name | Tatyana V Bakhtinova |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 17191 Bothell Way Ne, Lake Forest Park, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710916846
- Provider Enumeration Date: 07/01/2006
- Last Update Date: 11/06/2007
Medical Identifiers
Medical identifiers for Tatyana V Bakhtinova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710916846 | NPI | - | NPPES |
GAB25977 | Other | WA | MEDICARE GROUP |
8473597 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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 V Bakhtinova 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 V Bakhtinova, PA 17191 Bothell Way Ne, Lake Forest Park, WA 98155-5534 Ph: (206) 363-8272 | Tatyana V Bakhtinova, PA 17191 Bothell Way Ne, Lake Forest Park, WA 98155-5534 Ph: (206) 364-8272 |
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