Antoinette Marie Bannister, MD in Seneca, SC

Antoinette Marie Bannister, MD is a medicare enrolled "Pediatrics" physician in Seneca, South Carolina. Her current practice location is 111 Omni Drive, Seneca, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 888-4222.

Antoinette Marie Bannister is licensed to practice in South Carolina (license number 36764) 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 1174579254.

Contact Information

	Antoinette Marie Bannister, MD
	111 Omni Drive, Seneca, SC 29672-9448
	(864) 888-4222
	(864) 888-0023

Map and Direction

Physician's Profile

Full Name	Antoinette Marie Bannister
Gender	Female
Speciality	Pediatrics
Location	111 Omni Drive, Seneca, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174579254
Provider Enumeration Date: 05/26/2006
Last Update Date: 05/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1355417981
Enrollment ID: I20160711000270

Medical Identifiers

Medical identifiers for Antoinette Marie Bannister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174579254	NPI	-	NPPES
367640	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36764 (South Carolina)	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. Antoinette Marie Bannister allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041

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. Antoinette Marie Bannister 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
Antoinette Marie Bannister, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8611	Antoinette Marie Bannister, MD 111 Omni Drive, Seneca, SC 29672-9448 Ph: (864) 888-4222

Reviews and Comments

Pediatrics Doctors in Seneca, SC

Tarina Marlene Mendes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 Main St, Seneca, SC 29678 Phone: 864-882-2906
Dr. Miranda Lynn Worster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-885-7749
Dr. Carey Molin Gully, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 457- B Hwy 123 Bypass, Seneca, SC 29678 Phone: 864-888-4464 Fax: 864-888-4462
Frank A Stewart, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15579 Wells Highway, Seneca, SC 29678 Phone: 864-882-7800 Fax: 864-882-5908
Lorraine Ann Bruce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Omni Drive, Seneca, SC 29672 Phone: 864-882-4222 Fax: 864-888-0023
Lisa A Ruohoniemi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10706 Clemson Blvd, Seneca, SC 29678 Phone: 864-888-3020 Fax: 864-888-8585

Antoinette Marie Bannister, MD - Medicare Pediatrics in Seneca, SC