Benjamin R Banks, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Elkhorn, Wisconsin. His current practice location is
W3985 County Road Nn, Elkhorn, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 741-2000.
Benjamin R Banks is licensed to practice in Wisconsin (license number 71441) 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 1053809285.
Physician's Profile
| Full Name | Benjamin R Banks |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | W3985 County Road Nn, Elkhorn, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053809285
- Provider Enumeration Date: 04/24/2018
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244560142
- Enrollment ID: I20190919000078
Medical Identifiers
Medical identifiers for Benjamin R Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053809285 | NPI | - | NPPES |
| 1053809285 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 71441 (Wisconsin) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 71441 (Wisconsin) | 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. Benjamin R Banks allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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| Entity Name | Mercy Health System Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
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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. Benjamin R Banks 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 |
Benjamin R Banks, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (003) 262-2508 | Benjamin R Banks, MD W3985 County Road Nn, Elkhorn, WI 53121-4337 Ph: (262) 741-2000 |
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