| Dr Jason David Banister, MD | |
|
225 Medical Center Dr, Ste 205, Paducah, KY 42003-7907 | |
| (270) 441-4462 | |
| (270) 441-4461 |
| Full Name | Dr Jason David Banister |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 225 Medical Center Dr, Paducah, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336218031 | NPI | - | NPPES |
| 64027147 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 32967 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Home Care, Paducah | Paducah, KY | Home health agency |
| Lourdes Hospital | Paducah, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care Llc | 1456777069 | 131 |
| Entity Name | Mercy Health Physicians Kentucky Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason David Banister, MD Po Box 636961, Cincinnati, OH 45263-6961 Ph: (513) 981-5130 | Dr Jason David Banister, MD 225 Medical Center Dr, Ste 205, Paducah, KY 42003-7907 Ph: (270) 441-4462 |
Clinton Joseph Kaufman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 | |
Dr. Charles King Davis Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 755 Woodland Dr, Paducah, KY 42001 Phone: 270-442-1468 | |
Dr. Kristen Nicole Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 | |
David John Mauterer, MD Surgery Medicare: Medicare Enrolled Practice Location: 225 Medical Center Drive, Suite 303, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Alice A Higdon, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Phillip Blotevogel, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 Fax: 270-538-9554 |