| Dr Tatiana B Sergeev, MD | |
|
400 22nd Ave., Brookings, SD 57006-2497 | |
| (605) 697-9500 | |
| (605) 697-6939 |
| Full Name | Dr Tatiana B Sergeev |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 400 22nd Ave., Brookings, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770531725 | NPI | - | NPPES |
| 6701312 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4543 (South Dakota) | Primary |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972634889 PECOS PAC ID: 9739073479 Enrollment ID: O20071203000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tatiana B Sergeev, MD 400 22nd Ave., Brookings, SD 57006-2497 Ph: (605) 697-9500 | Dr Tatiana B Sergeev, MD 400 22nd Ave., Brookings, SD 57006-2497 Ph: (605) 697-9500 |
Dr. Gerald L. Turner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave., Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Dr. Matt N. Bien, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 |