| Michelle Jean Banning, MD | |
|
804 Dan Ark Circle, Danville, AR 72833-0220 | |
| (479) 495-7300 | |
| (479) 495-7891 |
| Full Name | Michelle Jean Banning |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 804 Dan Ark Circle, Danville, Arkansas |
| 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 |
|---|---|---|---|
| 1790753929 | NPI | - | NPPES |
| 135336001 | Medicaid | AR | |
| CS8405 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1802 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chambers Memorial Hospital | Danville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tippin Family Medicine Clinic, P. A. | 7315831542 | 2 |
| Entity Name | Tippin Family Medicine Clinic, P. A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295748960 PECOS PAC ID: 7315831542 Enrollment ID: O20040210000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jean Banning, MD 804 Dan Ark Circle, Danville, AR 72833-0220 Ph: (479) 495-7300 | Michelle Jean Banning, MD 804 Dan Ark Circle, Danville, AR 72833-0220 Ph: (479) 495-7300 |
William A Isely, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 719 Detroit Ave, Danville, AR 72833 Phone: 479-495-6270 Fax: 479-495-6290 | |
Dr. Amanda Wilcox, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 719 Detroit Ave, Danville, AR 72833 Phone: 479-495-2241 | |
Philip Brian Tippin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Dan Ark Circle, Danville, AR 72833 Phone: 479-495-7300 |