Dr Banu Prasad Myneni, DO - Medicare Family Practice in Elmwood Park, IL

Dr Banu Prasad Myneni, DO is a medicare enrolled "Family Medicine" physician in Elmwood Park, Illinois. He went to West Virginia School Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Legacy Healthcare Services Inc, Privia Medical Group Llc and his current practice location is 7734 W North Ave, Elmwood Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 660-3900.

Dr Banu Prasad Myneni is licensed to practice in Virginia (license number 0102206019) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780082693.

Contact Information

Dr Banu Prasad Myneni, DO
7734 W North Ave,
Elmwood Park, IL 60707-4124
(708) 660-3900
Not Available

Map and Direction




Physician's Profile

Full NameDr Banu Prasad Myneni
GenderMale
SpecialityFamily Practice
Experience9 Years
Location7734 W North Ave, Elmwood Park, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Banu Prasad Myneni attended and graduated from West Virginia School Of Osteopathic Medicine in 2015
  NPI Data:
  • NPI Number: 1780082693
  • Provider Enumeration Date: 12/09/2014
  • Last Update Date: 06/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274893623
  • Enrollment ID: I20200622002607

Medical Identifiers

Medical identifiers for Dr Banu Prasad Myneni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780082693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-144866 (Illinois)Secondary
207Q00000XFamily Medicine 0102206019 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bon Secours Maryview Medical CenterPortsmouth, VAHospital
Sentara Obici HospitalSuffolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397222654
Privia Medical Group Llc43856820611176

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 Banu Prasad Myneni allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

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 Banu Prasad Myneni 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 AddressPractice Location Address
Dr Banu Prasad Myneni, DO
3235 Academy Ave,
Portsmouth, VA 23703-3200

Ph: (757) 484-7386
Dr Banu Prasad Myneni, DO
7734 W North Ave,
Elmwood Park, IL 60707-4124

Ph: (708) 660-3900

Reviews and Comments


Family Medicine Doctors in Elmwood Park, IL

Richard A Kasufkin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7230 W North Ave Ste 106b, Resurrection Immediate Care Center, Elmwood Park, IL 60707
Phone: 708-453-3000    Fax: 708-453-4660
Dr. Susan Marie Locke, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7255 W Grand Ave, Elmwood Park, IL 60707
Phone: 708-327-1650    
Kathryn J Mencel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7740 W North Ave, Elmwood Park, IL 60707
Phone: 708-456-3200    Fax: 708-456-3427
Frederick Allan Barber, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7632 W North Ave, West Suburban Family Practice Assoc Ltd, Elmwood Park, IL 60707
Phone: 708-451-4420    Fax: 708-456-9817
Alicja B Poleszak, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7740 W North Ave, Elmwood Park, IL 60707
Phone: 708-456-3200    Fax: 708-456-3427
John J Walsh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7632 W North Ave, Elmwood Park, IL 60707
Phone: 708-456-4420    Fax: 708-456-9817

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.