Dr Douglas R Banning, DO is a medicare enrolled "Internal Medicine" physician in Vinita, Oklahoma. His current practice location is
27371 S 4410 Rd, Vinita, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 256-4800.
Dr Douglas R Banning is licensed to practice in Oklahoma (license number 3104) 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 1356477681.
Physician's Profile
| Full Name | Dr Douglas R Banning |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 27371 S 4410 Rd, Vinita, Oklahoma |
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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: 1356477681
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 02/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 6608863287
- Enrollment ID: I20040427000371
Medical Identifiers
Medical identifiers for Dr Douglas R Banning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356477681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 3104 (Oklahoma) | 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. Dr Douglas R Banning allows following entities to bill medicare on his behalf.
| Entity Name | Medical Resource Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
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| Entity Name | South Central Emergency Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
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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. Dr Douglas R Banning 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 Douglas R Banning, DO 27371 S 4410 Rd, Vinita, OK 74301-7953 Ph: (918) 256-4800 | Dr Douglas R Banning, DO 27371 S 4410 Rd, Vinita, OK 74301-7953 Ph: (918) 256-4800 |
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