| John A Banahan Jr, MD | |
|
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
| (228) 762-1353 | |
| (228) 762-1359 |
| Full Name | John A Banahan Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 2809 Denny Ave, Pascagoula, 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 |
|---|---|---|---|
| 1720379720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 24796 (Mississippi) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 32065 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Singing River Health System | Pascagoula, MS | Hospital |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smb Radiology P A | 9234136060 | 23 |
| Entity Name | Smb Radiology P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609877356 PECOS PAC ID: 9234136060 Enrollment ID: O20061108000496 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Banahan Jr, MD 1365 Market St, Pascagoula, MS 39567-6604 Ph: (228) 762-1353 | John A Banahan Jr, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 762-1353 |
Dr. Roland Joseph Mestayer Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 | |
Dr. W. Sam Dennis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
John H Bechtel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5251 Fax: 228-809-5255 | |
Thurman N. Polchow, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 | |
Jim Patrick Gray, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 | |
Dr. Paul Harold Moore Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 |