| Krisandra Banet, | |
|
1111 W Kenyon Rd Ste B, Urbana, IL 61801-1006 | |
| (217) 729-7657 | |
| Not Available |
| Full Name | Krisandra Banet |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1111 W Kenyon Rd Ste B, Urbana, Illinois |
| 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 |
|---|---|---|---|
| 1043849391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003208A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitalskin Medical Group Il Pllc | 5991116261 | 56 |
| Entity Name | Vitalskin Medical Group Il PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477297083 PECOS PAC ID: 5991116261 Enrollment ID: O20221012000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Krisandra Banet, 2857 Charlestown Rd Ste 100, New Albany, IN 47150-1998 Ph: (812) 944-7500 | Krisandra Banet, 1111 W Kenyon Rd Ste B, Urbana, IL 61801-1006 Ph: (217) 729-7657 |
Mrs. Abigail Boethin, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 W Park St, Fapc, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 |
Yaa Mensah-bonsu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 |
Hoshang Irani, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |
Aubrey N. Hudson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Ob/gyn, Urbana, IL 61801 Phone: 217-383-3140 Fax: 217-383-4966 |
Bayleigh Augusta White-geisler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7751 |
Sarah Rebecca Moon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 |
Kiley Ann Owen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Emergency, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |