| Miss Kirk G Banerian, MD | |
|
3401 Ludington Street, Escanaba, MI 49829-1300 | |
| (906) 786-3311 | |
| (906) 789-0941 |
| Full Name | Miss Kirk G Banerian |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 3401 Ludington Street, Escanaba, Michigan |
| 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 |
|---|---|---|---|
| 1891882536 | NPI | - | NPPES |
| 016623400 | Medicaid | FL | |
| 495680 | Other | MI | HAP |
| 0Q26008 | Other | MI | BCN OF MICHIGAN |
| 4550607 | Medicaid | MI | |
| 371664910 | Other | HEALTH NET FED SERVICES | |
| 0Q26008 | Other | MI | BCBS OF MICHIGAN |
| 1006439 | Other | MI | MCCLAREN |
| SJ820005 | Other | MI | M-CARE |
| 0Q26008054 | Other | FEDERAL BLACK LUNG | |
| P00067927 | Other | RR MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Howard John Simon Md Pc | 1658602263 | 28 |
| Smi Imaging Llc | 3476696220 | 255 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 119 |
| Simonmed Imaging Florida Llc | 6608036108 | 166 |
| Howard John Simon Md Pc | 1658602263 | 28 |
| Smi Imaging Llc | 3476696220 | 255 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 119 |
| Simonmed Imaging Florida Llc | 6608036108 | 166 |
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20201201002763 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20210518001189 |
| Entity Name | Howard John Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20210518002542 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20210519002020 |
| Entity Name | Radiology Regional Center P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407809262 PECOS PAC ID: 9638151756 Enrollment ID: O20210610001698 |
| Entity Name | Progressive Physician Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20230222000305 |
| Entity Name | Simonmed Reno Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576145 PECOS PAC ID: 5991140360 Enrollment ID: O20240604000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kirk G Banerian, MD 3401 Ludington Street, Escanaba, MI 49829-1300 Ph: (906) 786-3311 | Miss Kirk G Banerian, MD 3401 Ludington Street, Escanaba, MI 49829-1300 Ph: (906) 786-3311 |
Dr. Leon E Kinasiewicz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3401 Ludington St, Escanaba, MI 49829 Phone: 906-786-3311 | |
Stephen Michael Manier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 750 Lakeshore Drive, Escanaba, MI 49829 Phone: 734-677-7400 Fax: 734-677-7407 |