Individual ProviderAnastasia BakulinaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1424 Broadway, Everett, WA 98201(425) 789-2000PECOS EnrollmentBased on the most recent information from CMS, provider Anastasia Bakulina is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407464993Provider TypeIndividualFull NameBakulina, AnastasiaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/21/2020Last Updated7/13/2023Contact InformationPractice LocationPractice Address1424 Broadway, Everett, WA 98201Phone(425) 789-2000Fax(425) 789-2096Mailing LocationMailing Address1424 Broadway, Everett, WA 98201-1720Phone(425) 789-2000Fax(425) 789-2096Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD.MD.61409813Washington