Kaitlyn Rullo, in Bangor, ME - Medicare Physician Assistant

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.

Contact Information

	Kaitlyn Rullo,
	55 Broadway, Bangor, ME 04401-5201
	(207) 947-0469
	(207) 947-5368

Map and Direction

Provider's Profile

Full Name	Kaitlyn Rullo
Gender	Female
Speciality	Physician Assistant
Experience	4 Years
Location	55 Broadway, Bangor, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

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
363A00000X	Physician Assistant	(* (Not Available))	Secondary
208800000X	Urology	PA2440 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Light Eastern Maine Medical Center	Bangor, ME	Hospital
Northern Light Sebasticook Valley Hospital	Pittsfield, ME	Hospital
St Joseph Hospital	Bangor, ME	Hospital
Northern Light Maine Coast Hospital	Ellsworth, ME	Hospital
Northern Light Blue Hill Memorial Hospital	Blue hill, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eastern Maine Medical Center	2062315161	659

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaitlyn Rullo allows following entities to bill medicare on her behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

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: Not Available	Kaitlyn Rullo, 55 Broadway, Bangor, ME 04401-5201 Ph: (207) 947-0469

Kaitlyn Rullo, - Medicare Physician Assistant in Bangor, ME