| Nicole Renae Bane, | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (724) 494-0341 | |
| (210) 292-7868 |
| Full Name | Nicole Renae Bane |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| 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 |
|---|---|---|---|
| 1629480462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OT015982 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | OS018569 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gallagher Hospice, Llc | Bridgeville, PA | Hospice |
| St Clair Hospital | Pittsburgh, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Clair Professional Services Inc | 4284672742 | 40 |
| Entity Name | St Clair Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427270594 PECOS PAC ID: 4284672742 Enrollment ID: O20050425000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Renae Bane, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: () - | Nicole Renae Bane, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (724) 494-0341 |
Kerry M Schwartz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 407-848-4022 | |
Dr. Krista Rc Rokeh, MD, MS Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5693 Fax: 210-292-7868 | |
Dr. Audra Cochran, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4278 | |
Dr. Robert M Kruger, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 Fax: 210-292-7868 | |
Dr. Charles Haller Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6835 | |
Aneesh Atul Bapodra, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7805 Fax: 210-292-7868 | |
Travis Carlos Batts, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 |