| Michael A Banuchi, PA-C | |
|
1295 Jacaranda Blvd., Venice, FL 34292-4522 | |
| (941) 484-1510 | |
| (941) 484-1071 |
| Full Name | Michael A Banuchi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1295 Jacaranda Blvd., Venice, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851472187 | NPI | - | NPPES |
| PA9102654 | Other | FL | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102654 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aqua Dermatology Of Florida, Pa | 1153390414 | 172 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Banuchi, PA-C 15051 S. Tamiami Trail, Suite 203, Fort Myers, FL 33908 Ph: (239) 437-8810 | Michael A Banuchi, PA-C 1295 Jacaranda Blvd., Venice, FL 34292-4522 Ph: (941) 484-1510 |
Shannon Bednarz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1370 E Venice Ave Ste 205, Venice, FL 34285 Phone: 941-488-2020 | |
Lauren Ann Fazenbaker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19790 Wellen Park Blvd, Suite 201b, Venice, FL 34293 Phone: 941-777-7771 | |
Sara T Popovich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41 Byp S, Venice, FL 34285 Phone: 941-244-5706 Fax: 941-800-4342 | |
Ryan Beadle, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21550 Angela Ln, Venice, FL 34293 Phone: 941-493-7400 Fax: 941-493-1940 | |
Megan Ashlee Econopouly, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Palermo Pl, Venice, FL 34285 Phone: 941-484-4778 | |
Kandyce Lopez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8036 S Tamiami Trl, Venice, FL 34293 Phone: 941-244-4300 Fax: 941-244-4380 | |
Ms. Kala Garth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Palermo Pl Unit C, Venice, FL 34285 Phone: 866-400-3376 Fax: 941-412-1003 |