| Laura R Banashek, MD | |
|
1425 S Main St, Walnut Creek, CA 94596-5318 | |
| (925) 295-4739 | |
| Not Available |
| Full Name | Laura R Banashek |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1425 S Main St, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447712286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 1013174 (Massachusetts) | Secondary |
| 207L00000X | Anesthesiology | A198350 (California) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura R Banashek, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: () - | Laura R Banashek, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4739 |
Kevin George Kaiser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
David Curtis Fitzgerald, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Kurt Dieter Dittmar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1607 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Christine E. Sands, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
David Aaron Shapiro, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 Fax: 925-947-5286 | |
Nitin Kumar, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 | |
Mark D. Piehler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |