Brendon Augustine Bambic, - Medicare Student in an Organized Health Care Education/Training Program in Lebanon, NH

Brendon Augustine Bambic, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lebanon, New Hampshire. His current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5000.

Brendon Augustine Bambic is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720546203.

Contact Information

Brendon Augustine Bambic,
1 Medical Center Dr,
Lebanon, NH 03756-1000
(603) 650-5000
Not Available



Physician's Profile

Full NameBrendon Augustine Bambic
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720546203
  • Provider Enumeration Date: 03/04/2019
  • Last Update Date: 07/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476962069
  • Enrollment ID: I20210512000328

Medical Identifiers

Medical identifiers for Brendon Augustine Bambic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720546203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology R3880 (New Hampshire)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Brendon Augustine Bambic 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 AddressPractice Location Address
Brendon Augustine Bambic,
1 Medical Center Dr,
Lebanon, NH 03756-1000

Ph: (208) 830-7712
Brendon Augustine Bambic,
1 Medical Center Dr,
Lebanon, NH 03756-1000

Ph: (603) 650-5000

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