| Joel T Banken, MD | |
|
100 Highline Dr, East Wenatchee, WA 98802-5341 | |
| (509) 884-0614 | |
| Not Available |
| Full Name | Joel T Banken |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 100 Highline Dr, East Wenatchee, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144256298 | NPI | - | NPPES |
| 0151241 | Other | WA | L&I |
| 314880 | Other | WA | L&I POST 7/21/13 |
| P01287730 | Other | WA | RR MEDICARE |
| 1144256298 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD000388864 (Washington) | Primary |
| Entity Name | Central Washington Health Services Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
| Entity Name | Wenatchee Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel T Banken, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Joel T Banken, MD 100 Highline Dr, East Wenatchee, WA 98802-5341 Ph: (509) 884-0614 |
Ted O'donnell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Highline Dr, East Wenatchee, WA 98802 Phone: 509-884-0614 | |
Cici B Asplund, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Highline Dr, East Wenatchee, WA 98802 Phone: 509-884-0614 | |
Elizabeth Buck, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 940 Eastmont Ave, East Wenatchee, WA 98802 Phone: 509-884-9000 | |
Barbara J Bates, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Highline Dr, East Wenatchee, WA 98802 Phone: 509-884-0614 | |
Dr. Floy Evon Detwiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Highline Dr, East Wenatchee, WA 98802 Phone: 509-884-0614 | |
Michael J Abbott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Highline Dr, East Wenatchee, WA 98802 Phone: 509-884-0614 |