| Jon Christopher Banwart, MD | |
|
2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214 | |
| (479) 553-3360 | |
| (479) 553-1911 |
| Full Name | Jon Christopher Banwart |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 2900 Medical Center Pkwy Ste 310, Bentonville, Arkansas |
| 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 |
|---|---|---|---|
| 1760410542 | NPI | - | NPPES |
| OKA105515 | Other | OK | NOVITAS |
| 204725600 | Medicaid | MO | |
| 100332710D | Medicaid | KS | |
| 10033710V | Medicaid | KS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
| Mercy Hospital Carthage | Carthage, MO | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
| Mercy Hospital Columbus | Columbus, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Christopher Banwart, MD 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214 Ph: (479) 553-3360 | Jon Christopher Banwart, MD 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214 Ph: (479) 553-3360 |
Dr. Christopher P Dougherty, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 Fax: 479-273-1255 | |
Rodger C Dickinson Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 Fax: 479-273-1255 | |
Reagan Elizabeth Huett, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Moberly Ln, Bentonville, AR 72712 Phone: 479-521-2752 Fax: 479-521-4603 | |
Brandon Lee Morris, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 | |
Charles Irving Jones Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Ste 300, Bentonville, AR 72712 Phone: 479-553-3360 Fax: 479-553-1911 | |
Dr. James Marshall Mckenzie, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1504 Se 28th St, Bentonville, AR 72712 Phone: 479-273-1111 Fax: 479-273-1255 | |
Gannon B Randolph, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Moberly Ln, Bentonville, AR 72712 Phone: 479-521-2752 Fax: 479-521-4603 |