Elyse Patrella, DDS in Bangor, ME - Medicare Dentist Provider

Elyse Patrella, DDS is a medicare enrolled "Dentist" provider in Bangor, Maine. Her current practice location is 1048 Union St, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 992-2152.

Elyse Patrella is licensed to practice in Maine (license number DEN4432) 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 1407239031.

Contact Information

	Elyse Patrella, DDS
	1048 Union St, Bangor, ME 04401-3016
	(207) 992-2152
	Not Available

Healthcare Provider's Profile

Full Name	Elyse Patrella
Gender	Female
Speciality	Dentist
Location	1048 Union St, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407239031
Provider Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015

Medicare PECOS Information:

PECOS PAC ID: 0840504312
Enrollment ID: I20150729007474

Medical Identifiers

Medical identifiers for Elyse Patrella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407239031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN4432 (Maine)	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. Elyse Patrella 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
Elyse Patrella, DDS Po Box 1599, Bangor, ME 04402-1599 Ph: () -	Elyse Patrella, DDS 1048 Union St, Bangor, ME 04401-3016 Ph: (207) 992-2152

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Dentist in Bangor, ME

Dr. David Christopher Haluska, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12 Stillwater Ave, Ste 6, Bangor, ME 04401 Phone: 207-941-6550 Fax: 207-973-5932
Dr. Arlene A Asante, Dentist Medicare: Medicare Enrolled Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-992-2152 Fax: 207-947-0435
Spencer Valley, Dentist Medicare: Not Enrolled in Medicare Practice Location: 62 Corporate Dr, Bangor, ME 04401 Phone: 207-947-7503
Mark Edward Eggleton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 Hammond St, Bangor, ME 04401 Phone: 207-945-6493 Fax: 207-947-6003
Edward R Zanca, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-992-2152 Fax: 207-947-0435
Dr. William Alexander Deighan, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 37 Bower St, Bangor, ME 04401 Phone: 207-945-5691
Dr. Louise Desjardins King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 151 State St, Bangor, ME 04401 Phone: 207-945-6036 Fax: 207-942-1548

Elyse Patrella, DDS - Medicare Dentist in Bangor, ME