| Ms Ellen Mary Bando, PA | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
| (928) 729-8000 | |
| (928) 729-3355 |
| Full Name | Ms Ellen Mary Bando |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699765057 | NPI | - | NPPES |
| 30334002 | Medicaid | NH | |
| 9000244 | Medicaid | VT | |
| 518160 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 153 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| 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 |
Pony Nancy Sokiri, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Andrew Yosim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Kyle Maxum, Physician Assistant Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Roanne Jimenez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |
Miriam Christine Rollason, PA 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 |
Ceairra Torres Beck, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8431 |