Tatyana N Formuzal, PT is a
Physical Therapist physician based in Carmichael, California. Tatyana N Formuzal is licensed to practice in California (license number PT291118) and her current practice location is 5810 Jameson Ct Ste 1, Carmichael, California. She can be reached at her office (for appointments etc.) via phone at
(916) 979-0621.
NPI number for Tatyana N Formuzal is 1821459553 and her current mailing address is 12260 Vineyard Hill Ct, Elk Grove, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821459553.
Physician's Profile
| Full Name | Tatyana N Formuzal |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 5810 Jameson Ct Ste 1, Carmichael, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821459553
- Provider Enumeration Date: 03/08/2016
- Last Update Date: 07/03/2022
Medical Identifiers
Medical identifiers for Tatyana N Formuzal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821459553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT291118 (California) | Secondary |
| 225100000X | Physical Therapist | PT291118 (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. Tatyana N Formuzal 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 N Formuzal, PT
12260 Vineyard Hill Ct,
Elk Grove, CA 95624-9531
Ph: () - | Tatyana N Formuzal, PT
5810 Jameson Ct Ste 1,
Carmichael, CA 95608-0881
Ph: (916) 979-0621 |
Reviews and Comments