Holly M Banark, DPT in Brentwood, MO - Medicare Physical Therapist Provider

Holly M Banark, DPT is a medicare enrolled "Physical Therapist" provider in Brentwood, Missouri. Her current practice location is 2937 S Brentwood Blvd, Brentwood, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 961-3804.

Holly M Banark is licensed to practice in Missouri (license number 2022023815) 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 1215647300.

Contact Information

	Holly M Banark, DPT
	2937 S Brentwood Blvd, Brentwood, MO 63144-2713
	(314) 961-3804
	(314) 961-1147

Map and Direction

Healthcare Provider's Profile

Full Name	Holly M Banark
Gender	Female
Speciality	Physical Therapist
Location	2937 S Brentwood Blvd, Brentwood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215647300
Provider Enumeration Date: 11/29/2022
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 6204205065
Enrollment ID: I20221217000164

Medical Identifiers

Medical identifiers for Holly M Banark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215647300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP042805T (Iowa)	Secondary
225100000X	Physical Therapist	CP042804T (Nebraska)	Secondary
225100000X	Physical Therapist	2022023815 (Missouri)	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. Holly M Banark allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357

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. Holly M Banark 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
Holly M Banark, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6250	Holly M Banark, DPT 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 Ph: (314) 961-3804

Reviews and Comments

Physical Therapist in Brentwood, MO

Margaret E Braida, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147
Dr. Nicole R Jackson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1335 Strassner Dr, Brentwood, MO 63144 Phone: 313-289-0178
Jacqueline D Schranck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147
Whitney Korgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2726 Bremerton Rd, Brentwood, MO 63144 Phone: 636-515-3859
Mr. Brian Michael Graf, PT ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147
Charlotte Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804
Kamrun N Alam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8228 Brentwood Industrial Dr, Brentwood, MO 63144 Phone: 314-218-8966 Fax: 314-781-3448

Holly M Banark, DPT - Medicare Physical Therapist in Brentwood, MO