Mrs Adija Memboup, PA in Danbury, CT - Medicare Physician Assistant

Mrs Adija Memboup, PA is a medicare enrolled "Physician Assistant" in Danbury, Connecticut. Her current practice location is 24 Hospital Ave, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (917) 873-5185.

Mrs Adija Memboup is licensed to practice in New York (license number 008489) 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 1942365986.

Contact Information

	Mrs Adija Memboup, PA
	24 Hospital Ave, Danbury, CT 06810-6077
	(917) 873-5185
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Adija Memboup
Gender	Female
Speciality	Physician Assistant
Location	24 Hospital Ave, Danbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942365986
Provider Enumeration Date: 12/27/2006
Last Update Date: 05/07/2022

Medicare PECOS Information:

PECOS PAC ID: 0042446726
Enrollment ID: I20131203000047

Medical Identifiers

Medical identifiers for Mrs Adija Memboup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942365986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5545 (Connecticut)	Secondary
363A00000X	Physician Assistant	008489 (New York)	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. Mrs Adija Memboup 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
Mrs Adija Memboup, PA 24 Hospital Ave, Danbury, CT 06810-6077 Ph: (917) 873-5185	Mrs Adija Memboup, PA 24 Hospital Ave, Danbury, CT 06810-6077 Ph: (917) 873-5185

Reviews and Comments

Physician Assistant Nurses in Danbury, CT

Mr. Peter X Zhang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000
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Rachele Struthers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7129 Fax: 203-749-9006
Philip Black, ATC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Riverview Dr, Danbury, CT 06810 Phone: 203-797-1500
Miss Gina K Porto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33 Hospital Ave., Danbury, CT 06810 Phone: 203-792-2003 Fax: 203-739-8926

Mrs Adija Memboup, PA - Medicare Physician Assistant in Danbury, CT