Kaitlyn Rullo, - Medicare Urology in Bangor, ME

Kaitlyn Rullo, is a medicare enrolled "Urology" in Bangor, Maine. 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 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 1295465409.

Contact Information

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



Provider's Profile

Full NameKaitlyn Rullo
GenderFemale
SpecialityUrology
Location55 Broadway, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1295465409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
208800000XUrology PA2440 (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. 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 AddressPractice Location Address
Kaitlyn Rullo,
489 State St,
Bangor, ME 04401-6616

Ph: () -
Kaitlyn Rullo,
55 Broadway,
Bangor, ME 04401-5201

Ph: (207) 947-0469

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