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Lyudmila I Babchanik

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941

(916) 535-2030

PECOS Enrollment

This provider is enrolled in PECOS as LYUDMILA BABCHANIK.

Based on the most recent information from CMS, provider Lyudmila I Babchanik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1609567098
Provider Type
Individual
Full Name
Babchanik, Lyudmila I
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/16/2023
Last Updated
7/24/2023

Contact Information

Practice Location

1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941

(916) 535-2030

(916) 536-3061

Mailing Location

3400 Data Dr, Rancho Cordova, CA 95670-7956

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 62830 California

Lyudmila I Babchanik

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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