Eleanor Jane Rose, PA
NPI 1710702543ActiveIndividual· Physician Assistant· Ithaca, NY
Physician Assistant (PA) with Eastern Maine Medical Center, practicing in Ithaca, New York. Enrolled in Medicare as practitioner - physician assistant. Lists Calais Community Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1710702543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 18, 2024 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ME) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Eastern Maine Medical CenterBangor, ME · 624 clinicians
Hospital affiliations
- Calais Community HospitalCalais, ME
- Northern Light Eastern Maine Medical CenterBangor, ME
- Northern Light Maine Coast HospitalEllsworth, ME
- Northern Light Sebasticook Valley HospitalPittsfield, ME
- St Joseph HospitalBangor, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Ithaca
- 1396335881
- 1568850162
- 1194425082
- 1104642131
- 1205496908
- 1265257323
- 1679501811
- 1417406398
- 1003524646
- 1144323049
- 1720785041
- 1417926692