| Kaitlyn R Banning, | |
|
1005 Division St, Prescott, AZ 86301-1601 | |
| (928) 776-8428 | |
| Not Available |
| Full Name | Kaitlyn R Banning |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 6 Years |
| Location | 1005 Division St, Prescott, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962065219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101027374 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 011238 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Ob Gyn Pllc | 4284724279 | 98 |
| Entity Name | Genesis Ob Gyn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992994214 PECOS PAC ID: 4284724279 Enrollment ID: O20071213000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn R Banning, 1005 Division St, Prescott, AZ 86301-1601 Ph: (928) 776-8428 | Kaitlyn R Banning, 1005 Division St, Prescott, AZ 86301-1601 Ph: (928) 776-8428 |
Mary P Hogan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Michele R Jones, R.N.F.A. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl, Suite 1, Prescott, AZ 86305 Phone: 928-778-4300 Fax: 928-771-0920 | |
Dr. Luis Anthony Fernandez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Denise Lynn Gallus, PA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd Ste E, Prescott, AZ 86301 Phone: 928-583-7887 | |
Dr. Jeanette Marie Pilotte, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 802 Ainsworth Dr, Suite C, Prescott, AZ 86301 Phone: 928-583-7887 Fax: 928-583-7886 | |
Josephine Kim, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 | |
Dr. Adam Ford Feingold, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 |