Katherine J Bannon, DPT in Tuba City, AZ - Medicare Physical Therapist Provider

Katherine J Bannon, DPT is a medicare enrolled "Physical Therapist" provider in Tuba City, Arizona. Her current practice location is 167 N. Main Street, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 283-2501.

Katherine J Bannon is licensed to practice in Delaware (license number J10002847) 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 1114306974.

Contact Information

	Katherine J Bannon, DPT
	167 N. Main Street, Tuba City, AZ 86045-0600
	(928) 283-2501
	(928) 283-2677

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine J Bannon
Gender	Female
Speciality	Physical Therapist
Location	167 N. Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114306974
Provider Enumeration Date: 05/27/2015
Last Update Date: 05/27/2015

Medicare PECOS Information:

PECOS PAC ID: 7810202488
Enrollment ID: I20150812007526

Medical Identifiers

Medical identifiers for Katherine J Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114306974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	J10002847 (Delaware)	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. Katherine J Bannon allows following entities to bill medicare on her behalf.

Provider Name	Tuba City Regional Health Care Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

Provider Name	San Carlos Apache Healthcare Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091

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. Katherine J 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
Katherine J Bannon, DPT Po Box 600, Tuba City, AZ 86045-0600 Ph: (928) 283-2501	Katherine J Bannon, DPT 167 N. Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501

Reviews and Comments

Physical Therapist in Tuba City, AZ

Mrs. Kristen M Balcerek, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501
Cheyenne Fox, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main St, Tuba City, AZ 86045 Phone: 866-976-5941
Heidi L Fisher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Tate Shea Tsingine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main Steet, Tuba City, AZ 86045 Phone: 866-976-5941
Lashawn Elam, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 928-283-2659
Joli M Czamara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677

Katherine J Bannon, DPT - Medicare Physical Therapist in Tuba City, AZ