| Monico Peter Banez, MD | |
|
620 Skyline Dr, Jackson, TN 38301-3923 | |
| (731) 660-8759 | |
| Not Available |
| Full Name | Monico Peter Banez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 620 Skyline Dr, Jackson, Tennessee |
| 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 |
|---|---|---|---|
| 1962479451 | NPI | - | NPPES |
| 3889132 | Medicaid | TN | |
| 4070560 | Other | BCBS | |
| P00077531 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 27436 (Mississippi) | Primary |
| 207R00000X | Internal Medicine | 35303 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Raleigh General Hospital | Beckley, WV | Hospital |
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Healthcare Hospitalists Inc | 1951735521 | 94 |
| West Tennessee Medical Group Inc | 3971781006 | 151 |
| Hospital Medicine Services Of Maine Llc | 1759621469 | 30 |
| Apogee Medical Group West Virginia Pllc | 0941343255 | 44 |
| Entity Name | University Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790738763 PECOS PAC ID: 5294646378 Enrollment ID: O20031111000809 |
| Entity Name | Summit Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Entity Name | Executive Outcomes Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821352808 PECOS PAC ID: 8426200734 Enrollment ID: O20121213000329 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Entity Name | West Tennessee Healthcare Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720635188 PECOS PAC ID: 1951735521 Enrollment ID: O20200107003009 |
| Mailing Address | Practice Location Address |
|---|---|
| Monico Peter Banez, MD 1804 Highway 45 Byp, Suite 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | Monico Peter Banez, MD 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 660-8759 |
Vernessa Lynn Davis-tharpe, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr Fl 3, Jackson, TN 38301 Phone: 866-870-5570 Fax: 731-541-8187 | |
Dr. Loran E Karlosky, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 28 Suncrest Dr, Jackson, TN 38305 Phone: 859-494-2846 | |
Victor Go, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-541-4923 | |
Yasin Kanakrieh, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Devan Trull, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-4923 |