Kimberley Yvonne Banta, LPC in Ft Eisenhower, GA - Medicare Mental Health Counselor Provider

Kimberley Yvonne Banta, LPC is a medicare enrolled "Counselor - Mental Health" provider in Ft Eisenhower, Georgia. She graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Inpatient Psychology Solutions Llc and her current practice location is 300 W Hospital Rd, Ft Eisenhower, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 787-8656.

Kimberley Yvonne Banta is licensed to practice in Georgia (license number LPC010936) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811548803.

Contact Information

	Kimberley Yvonne Banta, LPC
	300 W Hospital Rd, Ft Eisenhower, GA 30905-5741
	(706) 787-8656
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberley Yvonne Banta
Gender	Female
Speciality	Mental Health Counselor
Experience	10 Years
Location	300 W Hospital Rd, Ft Eisenhower, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberley Yvonne Banta graduated from medical school in 2015

NPI Data:

NPI Number: 1811548803
Provider Enumeration Date: 09/22/2019
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7315475712
Enrollment ID: I20250113003501

Medical Identifiers

Medical identifiers for Kimberley Yvonne Banta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811548803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC010936 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Doctors Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inpatient Psychology Solutions Llc	2961825872	10

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. Kimberley Yvonne Banta allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Psychology Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497383152 PECOS PAC ID: 2961825872 Enrollment ID: O20200710002283

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. Kimberley Yvonne Banta 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
Kimberley Yvonne Banta, LPC 3994 Madison Ln, Augusta, GA 30909-9215 Ph: (706) 836-2649	Kimberley Yvonne Banta, LPC 300 W Hospital Rd, Ft Eisenhower, GA 30905-5741 Ph: (706) 787-8656

Kimberley Yvonne Banta, LPC - Medicare Counselor in Ft Eisenhower, GA