Kaitlyn Rullo, is a medicare enrolled "Urology" in Bangor, Maine. Her current practice location is
55 Broadway, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 947-0469.
Kaitlyn Rullo is licensed to practice in Maine (license number PA2440) 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 1295465409.
Provider's Profile
Full Name | Kaitlyn Rullo |
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Gender | Female |
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Speciality | Urology |
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Location | 55 Broadway, Bangor, 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: 1295465409
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779955968
- Enrollment ID: I20230216001970
Medical Identifiers
Medical identifiers for Kaitlyn Rullo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295465409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
208800000X | Urology | PA2440 (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. Kaitlyn Rullo 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 |
Kaitlyn Rullo, 489 State St, Bangor, ME 04401-6616 Ph: () - | Kaitlyn Rullo, 55 Broadway, Bangor, ME 04401-5201 Ph: (207) 947-0469 |
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