Misty Nicole Banknell, PA-C - Medicare Physician Assistant in Milledgeville, GA

  1. Home
  2. Physician Assistant
  3. GA
  4. Milledgeville
Misty Nicole Banknell, PA-C is a medicare enrolled "Physician Assistant" in Milledgeville, Georgia. Her current practice location is 230 N Jefferson St Ne, Milledgeville, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 453-8484.

Misty Nicole Banknell is licensed to practice in Georgia (license number 005333) 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 1609034453.

Contact Information

Misty Nicole Banknell, PA-C
230 N Jefferson St Ne,
Milledgeville, GA 31061-3418
(478) 453-8484
(478) 452-0987

Map and Direction




Provider's Profile

Full NameMisty Nicole Banknell
GenderFemale
SpecialityPhysician Assistant
Location230 N Jefferson St Ne, Milledgeville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609034453
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 03/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0941376552
  • Enrollment ID: I20080905000199

Medical Identifiers

Medical identifiers for Misty Nicole Banknell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609034453NPI-NPPES
P00644516OtherRR MEDICARE PIN
005333OtherGASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 005333 (Georgia)Secondary
363AS0400XPhysician Assistant - Surgical 005333 (Georgia)Secondary
363A00000XPhysician Assistant 005333 (Georgia)Primary

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. Misty Nicole Banknell 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
Misty Nicole Banknell, PA-C
2400 Bellevue Rd Ste 21a,
Dublin, GA 31021-2890

Ph: (478) 275-7202		Misty Nicole Banknell, PA-C
230 N Jefferson St Ne,
Milledgeville, GA 31061-3418

Ph: (478) 453-8484

Reviews and Comments


Physician Assistant Nurses in Milledgeville, GA

Mrs. Kandace Danielle Bivens, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 800 W Thomas St, Milledgeville, GA 31061
Phone: 478-453-9346    
Mariah Wood Thaxton, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 821 N Cobb St, Milledgeville, GA 31061
Phone: 478-457-7128    
Ms. Sandra Joan Orr,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2249 Vinson Hwy Se, Milledgeville, GA 31061
Phone: 478-445-1858    Fax: 478-445-5190
Lauren Taylor Pounds, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1201 N Columbia Dr, Milledgeville, GA 31061
Phone: 478-451-0040    Fax: 478-451-0044

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.