| Jon Michael Banas, DO | |
|
3680 Broadway, Fort Myers, FL 33901-8005 | |
| (239) 936-2316 | |
| (239) 931-6365 |
| Full Name | Jon Michael Banas |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 3680 Broadway, Fort Myers, Florida |
| 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 |
|---|---|---|---|
| 1598750747 | NPI | - | NPPES |
| P00801888 | Other | FL | RAILROAD MEDICARE |
| 001495200 | Medicaid | FL | |
| 036100431 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036100431 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | OS10560 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| University Medical Center | Las vegas, NV | Hospital |
| St Luke's Medical Center | Phoenix, AZ | Hospital |
| Mountain Vista Medical Center, Lp | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shps Pllc | 7315325933 | 16 |
| University Medical Center Of Southern Nevada | 7315934429 | 334 |
| Shps Pllc | 7315325933 | 16 |
| Shps Pllc | 7315325933 | 16 |
| University Medical Center Of Southern Nevada | 7315934429 | 334 |
| Entity Name | Radiology Regional Center Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619365772 PECOS PAC ID: 3274858295 Enrollment ID: O20150216001973 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20220820000378 |
| Entity Name | University Medical Center Of Southern Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20250217000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Michael Banas, DO 3660 Broadway, Fort Myers, FL 33901-8005 Ph: (239) 936-2316 | Jon Michael Banas, DO 3680 Broadway, Fort Myers, FL 33901-8005 Ph: (239) 936-2316 |
Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 | |
Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316 | |
Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 | |
Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989 | |
Mitchell Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106 | |
Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219 | |
Dr. Michael J Weiss, MD Radiology Medicare: Medicare Enrolled Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 |