Ms Ellen Mary Bando, PA is a medicare enrolled "Physician Assistant" in Bradford, Vermont. Her current practice location is
331 Upper Plain, Bradford, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 222-4722.
Ms Ellen Mary Bando is licensed to practice in Arizona (license number 2333) 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 1699765057.
Provider's Profile
| Full Name | Ms Ellen Mary Bando |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 331 Upper Plain, Bradford, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699765057
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103846290
- Enrollment ID: I20070629000496
Medical Identifiers
Medical identifiers for Ms Ellen Mary Bando such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699765057 | NPI | - | NPPES |
| 9000244 | Medicaid | VT | |
| 518160 | Medicaid | AZ | |
| 30334002 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 055-0030836 (Vermont) | Secondary |
| 363A00000X | Physician Assistant | 0569 (New Hampshire) | Secondary |
| 363A00000X | Physician Assistant | 2333 (Arizona) | 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. Ms Ellen Mary Bando 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 |
|---|
Ms Ellen Mary Bando, PA
331 Upper Plain,
Bradford, VT 05033
Ph: (802) 222-4722 | Ms Ellen Mary Bando, PA
331 Upper Plain,
Bradford, VT 05033
Ph: (802) 222-4722 |
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