Kaitlyn Rullo, is a medicare enrolled "Urology" in Bangor, Maine. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Eastern Maine Medical Center and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295465409.
Provider's Profile
| Full Name | Kaitlyn Rullo |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 55 Broadway, Bangor, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kaitlyn Rullo graduated from nursing school in 2022
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 |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 208800000X | Urology | PA2440 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eastern Maine Medical Center | 2062315161 | 596 |
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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