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Primary Practice Address
2128 BLAKESLEE BOULEVARD DR E
LEHIGHTON, PA 18235-9619 US
PECOS Enrolled

Tatyana Pankratova

Internal Medicine Physician


Overview

Tatyana Pankratova is a Internal Medicine Physician in the LEHIGHTON area and has over 34 years of experience. Tatyana Pankratova primary office location is at 2128 BLAKESLEE BOULEVARD DR E and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1992

Tatyana Pankratova is affiliated with four hospitals in the LEHIGHTON area, including BRATTLEBORO MEMORIAL HOSPITAL. The NPI number is 1013216324 and the information was updated approximately 4 years ago.

Tatyana Pankratova is part of five medical groups, including TEMPLE FACULTY PRACTICE PLAN INC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
2128 BLAKESLEE BOULEVARD DR E
LEHIGHTON, PA 18235-9619 US
Phone: (610)-402-5369
Fax:
Practice Mailing Information
1460 G ST
SPRINGFIELD, OR 18235-9619 US
Phone: (541)-744-8613
Fax: (541)-744-8608

Practice Location Addresses: 4

License Number State
25253 WV
57.017371 OH
MD176264 OR
MD448702 PA
Board Certifications
Internal Medicine

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20150220001473
PECOS Individual PAC ID: 9931341864
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes