Nicole Renae Bane, in Jbsa Lackland, TX - Medicare Internal Medicine

Nicole Renae Bane, is a medicare enrolled "Internal Medicine" physician in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (724) 494-0341.

Nicole Renae Bane is licensed to practice in Pennsylvania (license number OS018569) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629480462.

Contact Information

	Nicole Renae Bane,
	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
	(724) 494-0341
	(210) 292-7868

Map and Direction

Physician's Profile

Full Name	Nicole Renae Bane
Gender	Female
Speciality	Internal Medicine
Location	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629480462
Provider Enumeration Date: 05/28/2014
Last Update Date: 02/23/2021

Medicare PECOS Information:

PECOS PAC ID: 6800192105
Enrollment ID: I20231002000938

Medical Identifiers

Medical identifiers for Nicole Renae Bane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629480462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OT015982 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	OS018569 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Renae Bane allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Renae Bane is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Internal Medicine Doctors in Jbsa Lackland, TX

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: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225

Nicole Renae Bane, - Medicare Internal Medicine in Jbsa Lackland, TX