Clinton Dale Banning, FNP in Grants Pass, OR - Medicare Nurse Practitioner

Clinton Dale Banning, FNP is a medicare enrolled "Nurse Practitioner - Family" in Grants Pass, Oregon. His current practice location is 500 Sw Ramsey, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 472-7069.

Clinton Dale Banning is licensed to practice in Oregon (license number 201050003NP) 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 1629307533.

Contact Information

	Clinton Dale Banning, FNP
	500 Sw Ramsey, Grants Pass, OR 97527
	(541) 472-7069
	Not Available

Map and Direction

Provider's Profile

Full Name	Clinton Dale Banning
Gender	Male
Speciality	Nurse Practitioner - Family
Location	500 Sw Ramsey, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629307533
Provider Enumeration Date: 12/24/2009
Last Update Date: 02/11/2010

Medicare PECOS Information:

PECOS PAC ID: 3971797424
Enrollment ID: I20101028001551

Medical Identifiers

Medical identifiers for Clinton Dale Banning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629307533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2001141562RN (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	201050003NP (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clinton Dale Banning allows following entities to bill medicare on his behalf.

Entity Name	Asante Three Rivers Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367

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. Clinton Dale Banning 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
Clinton Dale Banning, FNP Po Box 338, 133 Winnie Walker Lane, Glendale, OR 97442-0338 Ph: (541) 832-2335	Clinton Dale Banning, FNP 500 Sw Ramsey, Grants Pass, OR 97527 Ph: (541) 472-7069

Reviews and Comments

Nurse Practitioner Nurses in Grants Pass, OR

Ms. Catherine Chiaradonna, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527 Phone: 877-672-8620
Cathryn Diann Draper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527 Phone: 541-930-7223 Fax: 541-930-7221
Deborah Lynn Rossel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-916-5500 Fax: 541-916-5010
Krista Fuqua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1585 Nw Washington Blvd, Grants Pass, OR 97526 Phone: 541-474-5511
Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533
Mona Kaahu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 Fax: 541-471-9242
Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638

Clinton Dale Banning, FNP - Medicare Nurse Practitioner in Grants Pass, OR