Tatiana Victorovna Ansimova, PA is a
Specialist/technologist, Other - Surgical Assistant based in Sunny Isles Beach, Florida. Tatiana Victorovna Ansimova is licensed to practice in Florida (license number 25-285) and her current practice location is
17720 N Bay Rd Apt 6a, Sunny Isles Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(267) 916-3989.
NPI number for Tatiana Victorovna Ansimova is 1962349498 and her current mailing address is 17720 N Bay Rd Apt 6a, Sunny Isles Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962349498.
Provider's Profile
| Full Name | Tatiana Victorovna Ansimova |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist, Other - Surgical Assistant |
|---|
| Location | 17720 N Bay Rd Apt 6a, Sunny Isles Beach, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962349498
- Provider Enumeration Date: 05/01/2026
- Last Update Date: 05/01/2026
Medical Identifiers
Medical identifiers for Tatiana Victorovna Ansimova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962349498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 3077 (Puerto Rico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 3077 (Puerto Rico) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 3077 (Puerto Rico) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 25-285 (Florida) | 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. Tatiana Victorovna Ansimova 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 |
|---|
Tatiana Victorovna Ansimova, PA
17720 N Bay Rd Apt 6a,
Sunny Isles Beach, FL 33160-2806
Ph: (267) 916-3989 | Tatiana Victorovna Ansimova, PA
17720 N Bay Rd Apt 6a,
Sunny Isles Beach, FL 33160-2806
Ph: (267) 916-3989 |
Reviews and Comments