Brendon Augustine Bambic, is a
Student In An Organized Health Care Education/training Program physician based in Lebanon, New Hampshire. Brendon Augustine Bambic is licensed to practice in * (Not Available) (license number ) and his current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(603) 650-5000.
NPI number for Brendon Augustine Bambic is 1720546203 and his current mailing address is 1 Medical Center Dr, Lebanon, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720546203.
Physician's Profile
| Full Name | Brendon Augustine Bambic |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720546203
- Provider Enumeration Date: 03/04/2019
- Last Update Date: 07/13/2022
Medical Identifiers
Medical identifiers for Brendon Augustine Bambic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720546203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | R3880 (New Hampshire) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Brendon Augustine Bambic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brendon Augustine Bambic,
1 Medical Center Dr,
Lebanon, NH 03756-1000
Ph: (208) 830-7712 | Brendon Augustine Bambic,
1 Medical Center Dr,
Lebanon, NH 03756-1000
Ph: (603) 650-5000 |
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