Mrs Anita Tevanian, PA-C is a medicare enrolled "Physician Assistant" in Lisbon Falls, Maine. Her current practice location is
583 Lisbon St, Lisbon Falls, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 753-4960.
Mrs Anita Tevanian is licensed to practice in Maine (license number 001229) 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 1538470364.
Provider's Profile
Full Name | Mrs Anita Tevanian |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 583 Lisbon St, Lisbon Falls, 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: 1538470364
- Provider Enumeration Date: 06/26/2010
- Last Update Date: 01/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951594480
- Enrollment ID: I20101018000189
Medical Identifiers
Medical identifiers for Mrs Anita Tevanian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538470364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 001229 (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. Mrs Anita Tevanian 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 Anita Tevanian, PA-C 190 Riverside St, Unit 6b, Portland, ME 04103-1073 Ph: (207) 777-4111 | Mrs Anita Tevanian, PA-C 583 Lisbon St, Lisbon Falls, ME 04252-1250 Ph: (207) 753-4960 |
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