Desiree Viviano, is a medicare enrolled "Physician Assistant" in Bowdoin, Maine. Her current practice location is
448 West Rd, Bowdoin, Maine. You can reach out to her office (for appointments etc.) via phone at
(516) 456-8812.
Desiree Viviano is licensed to practice in Maine (license number PA2178) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881097186.
Provider's Profile
Full Name | Desiree Viviano |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 448 West Rd, Bowdoin, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881097186
- Provider Enumeration Date: 09/30/2014
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860706785
- Enrollment ID: I20150805007105
Medical Identifiers
Medical identifiers for Desiree Viviano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881097186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 017990-1 (New York) | Secondary |
363A00000X | Physician Assistant | PA2178 (Maine) | 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. Desiree Viviano 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 Address | Practice Location Address |
Desiree Viviano, 448 West Rd, Bowdoin, ME 04287-7237 Ph: (516) 456-8812 | Desiree Viviano, 448 West Rd, Bowdoin, ME 04287-7237 Ph: (516) 456-8812 |
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