Dr Bethany Tara Samuelson Bannow, MD, MCR in Cleveland, OH

Dr Bethany Tara Samuelson Bannow, MD, MCR is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Cleveland, Ohio. She went to Oregon Health Sciences University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice Oregon Health And Science University, University Professional Services and her current practice location is 10201 Carnegie Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (866) 223-8100.

Dr Bethany Tara Samuelson Bannow is licensed to practice in Ohio (license number 35.154541) 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 1619267556.

Contact Information

	Dr Bethany Tara Samuelson Bannow, MD, MCR
	10201 Carnegie Ave, Cleveland, OH 44106-2130
	(866) 223-8100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bethany Tara Samuelson Bannow
Gender	Female
Speciality	Hematology/oncology
Experience	14 Years
Location	10201 Carnegie Ave, Cleveland, Ohio
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:

Dr Bethany Tara Samuelson Bannow attended and graduated from Oregon Health Sciences University School Of Medicine in 2011

NPI Data:

NPI Number: 1619267556
Provider Enumeration Date: 04/12/2011
Last Update Date: 10/07/2025

Medicare PECOS Information:

PECOS PAC ID: 0345566857
Enrollment ID: I20180208003086

Medical Identifiers

Medical identifiers for Dr Bethany Tara Samuelson Bannow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619267556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0000X	Internal Medicine - Hematology	OR186355 (Oregon)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	35.154541 (Ohio)	Primary
207RH0000X	Internal Medicine - Hematology	35.154541 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Science University	4284542945	9
University Professional Services	4880760107	1609

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. Dr Bethany Tara Samuelson Bannow allows following entities to bill medicare on her behalf.

Entity Name	Oregon Health & Science University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609824010 PECOS PAC ID: 4284542945 Enrollment ID: O20040121000929

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Dr Bethany Tara Samuelson Bannow 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
Dr Bethany Tara Samuelson Bannow, MD, MCR 3096 Nw Parkhurst Ter, Portland, OR 97229-4078 Ph: (509) 551-6258	Dr Bethany Tara Samuelson Bannow, MD, MCR 10201 Carnegie Ave, Cleveland, OH 44106-2130 Ph: (866) 223-8100

Reviews and Comments

Internal Medicine Doctors in Cleveland, OH

Amir Razavi, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Sana Hasan, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 330-721-5700
Laura Ferreira Provenzano, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-445-4926 Fax: 216-444-9378
Catherine Frakes Vozzo, DO Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-4444 Fax: 216-445-6290
Tarek Ashour, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-444-5040
Mrs. Efewongbe Benedicta Oleghe, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 Phone: 216-363-2725
Dr. Krupa Parikh, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800

Dr Bethany Tara Samuelson Bannow, MD, MCR - Medicare Hematology/oncology in Cleveland, OH