| Dr Jeffrey O'banner, MD | |
|
4250 Bethel Rd, Olive Branch, MS 38654-8737 | |
| (662) 932-9000 | |
| Not Available |
| Full Name | Dr Jeffrey O'banner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 4250 Bethel Rd, Olive Branch, Mississippi |
| 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 |
|---|---|---|---|
| 1801277363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 31799 (Mississippi) | Primary |
| 207Q00000X | Family Medicine | 31799 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Tishomingo Health Services Inc | Iuka, MS | Hospital |
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Tn, Pc | 3173989837 | 143 |
| Methodist South Emergency Physicians, Pllc | 6406205608 | 50 |
| Tishomingo Health Services, Inc. | 2466354303 | 28 |
| Olive Branch Emergency Physicians Llc | 9335598739 | 26 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Methodist University Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
| Entity Name | Germantown Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
| Entity Name | Methodist North Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
| Entity Name | Methodist South Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey O'banner, MD 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 Ph: (618) 333-5480 | Dr Jeffrey O'banner, MD 4250 Bethel Rd, Olive Branch, MS 38654-8737 Ph: (662) 932-9000 |