Yevgeniy Serikov, is a
Clinical Nurse Specialist based in Camino, California. Yevgeniy Serikov is licensed to practice in California (license number RN95367401) and his current practice location is
4541 Pony Express Trl, Camino, California. He can be reached at his office (for appointments etc.) via phone at
(916) 247-4201.
NPI number for Yevgeniy Serikov is 1275384414 and his current mailing address is 4541 Pony Express Trl, Camino, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275384414.
Provider's Profile
| Full Name | Yevgeniy Serikov |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist |
|---|
| Location | 4541 Pony Express Trl, Camino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275384414
- Provider Enumeration Date: 03/27/2024
- Last Update Date: 03/27/2024
Medical Identifiers
Medical identifiers for Yevgeniy Serikov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275384414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364S00000X | Clinical Nurse Specialist | RN95367401 (California) | 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. Yevgeniy Serikov 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 |
|---|
Yevgeniy Serikov,
4541 Pony Express Trl,
Camino, CA 95709-9613
Ph: () - | Yevgeniy Serikov,
4541 Pony Express Trl,
Camino, CA 95709-9613
Ph: (916) 247-4201 |
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