Binita Baniya, - Medicare Nurse Practitioner in Caledonia, MI

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Binita Baniya, is a medicare enrolled "Nurse Practitioner - Family" in Caledonia, Michigan. Her current practice location is 7340 Royal Ridge Dr Se, Caledonia, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 426-0202.

Binita Baniya is licensed to practice in Michigan (license number 4704319949) 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 1588446355.

Contact Information

Binita Baniya,
7340 Royal Ridge Dr Se,
Caledonia, MI 49316-9039
(616) 426-0202
Not Available

Map and Direction




Provider's Profile

Full NameBinita Baniya
GenderFemale
SpecialityNurse Practitioner - Family
Location7340 Royal Ridge Dr Se, Caledonia, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588446355
  • Provider Enumeration Date: 10/17/2023
  • Last Update Date: 09/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426408386
  • Enrollment ID: I20231219002509

Medical Identifiers

Medical identifiers for Binita Baniya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588446355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5022163 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 4704319949 (Michigan)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. Binita Baniya allows following entities to bill medicare on her behalf.
Entity NameAge Management Of West Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558700625
PECOS PAC ID: 2466686290
Enrollment ID: O20131010001662
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameTecumseh Urgent Care And Walk In Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245849298
PECOS PAC ID: 3274959341
Enrollment ID: O20200819003438
Entity NameMain St Urgent Care Clinic And Walk In Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447825351
PECOS PAC ID: 7618376179
Enrollment ID: O20210603001108
Entity NameChelsea Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811568272
PECOS PAC ID: 1658775309
Enrollment ID: O20210803002704
Entity NamePlainwell Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356014567
PECOS PAC ID: 7315341070
Enrollment ID: O20210803002969
Entity NameBattle Creek Urgent Care Walk In Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700539251
PECOS PAC ID: 7416340476
Enrollment ID: O20220215002383
Entity NameLambertville Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043958473
PECOS PAC ID: 5799166625
Enrollment ID: O20220722001878
Entity NameMd Urgent Care Ann Arbor Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649984568
PECOS PAC ID: 4082085683
Enrollment ID: O20230118001691

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. Binita Baniya 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 AddressPractice Location Address
Binita Baniya,
7340 Royal Ridge Dr Se,
Caledonia, MI 49316-9039

Ph: (616) 426-0202		Binita Baniya,
7340 Royal Ridge Dr Se,
Caledonia, MI 49316-9039

Ph: (616) 426-0202

Reviews and Comments


Nurse Practitioner Nurses in Caledonia, MI

Julie Stinton,
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Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316
Phone: 616-252-5300    Fax: 616-252-5390
Terri Rosel, NP
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Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316
Phone: 616-252-5300    Fax: 616-252-5390
Musu Olu Sonnie-williams, NP
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Practice Location: 6897 Dale Hollow Dr Se, Caledonia, MI 49316
Phone: 616-648-3246    
Racheal Brooker, NP
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Practice Location: 9090 S Rodgers Ct Se, Caledonia, MI 49316
Phone: 616-891-0422    
Nichole Anne Bundschuh,
Nurse Practitioner
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Practice Location: 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316
Phone: 616-891-0422    
Jessica Lynn Zwolinski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Crystal Springs Blvd Se, Caledonia, MI 49316
Phone: 616-326-0114    Fax: 616-369-3790

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.