TIARA ROSE BIANCO (PA-C) – Surgical Physician Assistant, NPI 1083281067
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for TIARA ROSE BIANCO (PA-C)
112 Mansfield Ave
Willimantic, CT 062262045
Phone: (860) 456-9116
Type: Location
43 WHITING HILL RD STE 300
BREWER, ME 044121006
Phone: (207) 973-5035
Fax: (207) 973-5042
Type: Mailing
417 STATE ST STE 300
BANGOR, ME 044016630
Phone: (207) 973-7000
Fax: (207) 973-8880
Type: Location
326 WASHINGTON ST
NORWICH, CT 063602740
Phone: (860) 889-8331
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210719002880 | I | Physician Assistant | ME | TBD |
| I20250416001399 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06226)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Emergency Medicine | RI | |
| P S Y C H I A T R Y | MA | |
| Hematology/Oncology, Medical Oncology | NJ | |
| Physician Assistant | ME | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | GA | |
| Internal Medicine | CT | |
| Physician Assistant | RI | |
| Physician Assistant | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.