Ms Ellen Mary Bando, PA in Fort Defiance, AZ - Medicare Physician Assistant

Ms Ellen Mary Bando, PA is a medicare enrolled "Physician Assistant" in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8000.

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.

Contact Information

	Ms Ellen Mary Bando, PA
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649
	(928) 729-8000
	(928) 729-3355

Map and Direction

Provider's Profile

Full Name	Ms Ellen Mary Bando
Gender	Female
Speciality	Physician Assistant
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699765057
Provider Enumeration Date: 10/26/2005
Last Update Date: 05/19/2025

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
30334002	Medicaid	NH
9000244	Medicaid	VT
518160	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0569 (New Hampshire)	Secondary
363A00000X	Physician Assistant	055-0030836 (Vermont)	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 Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Ms Ellen Mary Bando, PA Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000

Reviews and Comments

Physician Assistant Nurses in Fort Defiance, AZ

Kyle Maxum, Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Ms. Tessa Tahereh Facer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Christopher Colin Curtin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132
Malcolm Jewell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Lindsey L Riggs, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8269
Ian Thomas Swensen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Mrs. Sally Lynn Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Ms Ellen Mary Bando, PA - Medicare Physician Assistant in Fort Defiance, AZ