Mr Kenneth John Bannon, BSPA-C in Carbondale, PA

Mr Kenneth John Bannon, BSPA-C is a medicare enrolled "Physician Assistant" in Carbondale, Pennsylvania. His current practice location is 111 Salem Avenue, Suite 302, Carbondale, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 282-2031.

Mr Kenneth John Bannon is licensed to practice in Pennsylvania (license number MA001023L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821055047.

Contact Information

	Mr Kenneth John Bannon, BSPA-C
	111 Salem Avenue, Suite 302, Carbondale, PA 18407-2574
	(570) 282-2031
	(570) 282-2534

Map and Direction

Provider's Profile

Full Name	Mr Kenneth John Bannon
Gender	Male
Speciality	Physician Assistant
Location	111 Salem Avenue, Carbondale, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821055047
Provider Enumeration Date: 05/01/2006
Last Update Date: 03/23/2015

Medicare PECOS Information:

PECOS PAC ID: 4587624275
Enrollment ID: I20230112001334

Medical Identifiers

Medical identifiers for Mr Kenneth John Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821055047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA001023L (Pennsylvania)	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. Mr Kenneth John Bannon 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
Mr Kenneth John Bannon, BSPA-C 601 Park St, Honesdale, PA 18431-1445 Ph: () -	Mr Kenneth John Bannon, BSPA-C 111 Salem Avenue, Suite 302, Carbondale, PA 18407-2574 Ph: (570) 282-2031

Reviews and Comments

Physician Assistant Nurses in Carbondale, PA

Mrs. Ann Bridget Diehl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 254 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-3347
Heather Walters, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534
Mrs. Theresa Micknick, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 165 Fallbrook St, Carbondale, PA 18433 Phone: 570-282-3151
Miss Sharon Marie Savakinas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534
Jacqueline Marie Hillriegel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-281-8594
Mrs. Ashley Sue Machiesky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Lincoln Ave, Carbondale, PA 18407 Phone: 888-380-0342

Mr Kenneth John Bannon, BSPA-C - Medicare Physician Assistant in Carbondale, PA