Queenta Banack, DO - Nurse Practitioner in Fulton, MD

Queenta Banack, DO is a Nurse Practitioner - Family based in Fulton, Maryland. Queenta Banack is licensed to practice in Virginia (license number 0024186737) and her current practice location is 8115 Maple Lawn Blvd Ste 109, Fulton, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 404-8724.

NPI number for Queenta Banack is 1235832692 and her current mailing address is 8115 Maple Lawn Blvd Ste 109, Fulton, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235832692.

Contact Information

Queenta Banack, DO
8115 Maple Lawn Blvd Ste 109,
Fulton, MD 20759-2681
(301) 404-8724
Not Available

Map and Direction




Provider's Profile

Full NameQueenta Banack
GenderFemale
SpecialityNurse Practitioner - Family
Location8115 Maple Lawn Blvd Ste 109, Fulton, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235832692
  • Provider Enumeration Date: 03/24/2023
  • Last Update Date: 03/24/2023

Medical Identifiers

Medical identifiers for Queenta Banack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235832692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024186737 (Virginia)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. Queenta Banack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Queenta Banack, DO
8115 Maple Lawn Blvd Ste 109,
Fulton, MD 20759-2681

Ph: (301) 404-8724
Queenta Banack, DO
8115 Maple Lawn Blvd Ste 109,
Fulton, MD 20759-2681

Ph: (301) 404-8724

Reviews and Comments


Nurse Practitioner Nurses in Fulton, MD

Ms. Kathleen Marie Herberger, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8197 Westside Blvd, Fulton, MD 20759
Phone: 301-362-5090    
Zenia Mckoy, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7625 Maple Lawn Blvd, Suite 145, Fulton, MD 20759
Phone: 443-823-8147    
Meghan Elizabeth Canose,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11810 W Market Pl Ste 300, Fulton, MD 20759
Phone: 240-425-4824    
Jamie Huppmann, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7625 Maple Lawn Blvd Lowr Lobby, Fulton, MD 20759
Phone: 410-531-7557    Fax: 410-531-0818
Saudy Elizabeth Kanu,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8115 Maple Lawn Blvd, Suite 350, Fulton, MD 20759
Phone: 240-786-4527    
Keivan Gazy,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759
Phone: 240-786-4527    

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.