Tatiana Bakaeva, MD, PHD - Medicare Ophthalmology in Providence, RI

Tatiana Bakaeva, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Providence, Rhode Island. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Lifespan Physician Group Inc and her current practice location is 1 Hoppin Street, Corowest Suite 202, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-6551.

Tatiana Bakaeva is licensed to practice in Rhode Island (license number MD16734) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275948572.

Contact Information

Tatiana Bakaeva, MD, PHD
1 Hoppin Street, Corowest Suite 202,
Providence, RI 02903
(401) 444-6551
(401) 444-6587



Physician's Profile

Full NameTatiana Bakaeva
GenderFemale
SpecialityOphthalmology
Experience18 Years
Location1 Hoppin Street, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tatiana Bakaeva graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1275948572
  • Provider Enumeration Date: 06/25/2014
  • Last Update Date: 07/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365798816
  • Enrollment ID: I20190723000268

Medical Identifiers

Medical identifiers for Tatiana Bakaeva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275948572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 272919 (Massachusetts)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD16734 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082631

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tatiana Bakaeva allows following entities to bill medicare on her behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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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 Bakaeva is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tatiana Bakaeva, MD, PHD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779
Tatiana Bakaeva, MD, PHD
1 Hoppin Street, Corowest Suite 202,
Providence, RI 02903

Ph: (401) 444-6551

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› Verified 8 days ago


Psychiatry & Neurology Doctors in Providence, RI

Dr. Dana Siperstein, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    Fax: 401-793-8851
Giuseppe Salvatore D'amelio Iv, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    
Eugenie Atallah,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-606-2645    Fax: 401-606-4386
Dr. Luisa Skoble, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Arnaldo A Berges, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Sharath Ponnappa Puttichanda,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 345 Blackstone Blvd, Providence, RI 02906
Phone: 401-455-6346    Fax: 401-455-6532
Loreen Phyllis Carol Pirnie, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    

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