Mr Richard James Banczak, CNP in Saint Paul, MN

Mr Richard James Banczak, CNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Paul, Minnesota. His current practice location is 1983 Sloan Pl Ste 1, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 326-5700.

Mr Richard James Banczak is licensed to practice in Minnesota (license number 12066) 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 1104648021.

Contact Information

	Mr Richard James Banczak, CNP
	1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095
	(651) 326-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Richard James Banczak
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1983 Sloan Pl Ste 1, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104648021
Provider Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1153858246
Enrollment ID: I20241231003570

Medical Identifiers

Medical identifiers for Mr Richard James Banczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104648021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12066 (Minnesota)	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. Mr Richard James Banczak allows following entities to bill medicare on his behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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 Richard James Banczak 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 Richard James Banczak, CNP 1571 Laurel Ave Uppr, Saint Paul, MN 55104-7493 Ph: (262) 707-4995	Mr Richard James Banczak, CNP 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 Ph: (651) 326-5700

Reviews and Comments

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Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
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Mr Richard James Banczak, CNP - Medicare Nurse Practitioner in Saint Paul, MN