Dr Tatyana O Yetto, MD | |
1 Boone Rd, Bremerton, WA 98312-1894 | |
(619) 532-9660 | |
Not Available |
Full Name | Dr Tatyana O Yetto |
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Gender | Female |
Speciality | Dermatology |
Location | 1 Boone Rd, Bremerton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558657031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | 159905 (California) | Secondary |
207N00000X | Dermatology | 0101252505 (Virginia) | Primary |
Entity Name | Dermatology Specialists Of Fort Worth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417434119 PECOS PAC ID: 4587917117 Enrollment ID: O20181030000722 |
Mailing Address | Practice Location Address |
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Dr Tatyana O Yetto, MD 8901 Wisconsin Ave, Bethesda, MD 20889-0001 Ph: () - | Dr Tatyana O Yetto, MD 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (619) 532-9660 |
Jeffrey Wayne Gertner, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4216 Fax: 360-475-4430 | |
Dr. Kevin Anthony Fajardo, MD, MPH, MTMH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2771 Hemlock St Ste 100, Bremerton, WA 98310 Phone: 360-360-2763 Fax: 360-707-7808 | |
Katherine Lynn Brown, MD, MPH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 555 Pacific Ave Ste 202, Bremerton, WA 98337 Phone: 360-782-1700 |