Mary Ombatsa Banks, PMHMP-C in Alexander, AR - Medicare Nurse Practitioner

Mary Ombatsa Banks, PMHMP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alexander, Arkansas. Her current practice location is 13008 Avilla Hills Cv, Alexander, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 353-7110.

Mary Ombatsa Banks is licensed to practice in Arkansas (license number 232176) 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 1164246278.

Contact Information

	Mary Ombatsa Banks, PMHMP-C
	13008 Avilla Hills Cv, Alexander, AR 72002-8074
	(501) 353-7110
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Ombatsa Banks
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13008 Avilla Hills Cv, Alexander, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164246278
Provider Enumeration Date: 11/14/2024
Last Update Date: 04/24/2025

Medicare PECOS Information:

PECOS PAC ID: 3577081934
Enrollment ID: I20250519003314

Medical Identifiers

Medical identifiers for Mary Ombatsa Banks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164246278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	232176 (Arkansas)	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. Mary Ombatsa Banks allows following entities to bill medicare on her behalf.

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

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. Mary Ombatsa Banks 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
Mary Ombatsa Banks, PMHMP-C 13008 Avilla Hills Cv, Alexander, AR 72002-8074 Ph: (501) 353-7110	Mary Ombatsa Banks, PMHMP-C 13008 Avilla Hills Cv, Alexander, AR 72002-8074 Ph: (501) 353-7110

Reviews and Comments

Nurse Practitioner Nurses in Alexander, AR

Chastity Tanner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8140 N Haven Dr, Alexander, AR 72002 Phone: 870-329-6468
Romonda Tousant, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13823 Harold Dr, Alexander, AR 72002 Phone: 501-838-6482
Jennifer Lynne Carter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6905 Grace Village Dr, Alexander, AR 72002 Phone: 501-628-8623
T'shara E Harper, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Centerstone, Alexander, AR 72002 Phone: 870-413-1506
Misty Leigh Hartwick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2804 Leslie Ln, Alexander, AR 72002 Phone: 501-772-0439
Keeanndase Pace, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15604 Alexander Rd Unit 35, Alexander, AR 72002 Phone: 501-351-8753

Mary Ombatsa Banks, PMHMP-C - Medicare Nurse Practitioner in Alexander, AR