Michael Banoub, PT, PHD in Rochester, MI - Medicare Physical Therapist Provider

Michael Banoub, PT, PHD is a medicare enrolled "Physical Therapist" provider in Rochester, Michigan. His current practice location is 1050 W University Dr, Suite3, Rochester, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 650-1984.

Michael Banoub is licensed to practice in Michigan (license number 5501017184) 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 1740647858.

Contact Information

	Michael Banoub, PT, PHD
	1050 W University Dr, Suite3, Rochester, MI 48307-1877
	(248) 650-1984
	(248) 650-1994

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Banoub
Gender	Male
Speciality	Physical Therapist
Location	1050 W University Dr, Rochester, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740647858
Provider Enumeration Date: 01/20/2016
Last Update Date: 01/20/2016

Medicare PECOS Information:

PECOS PAC ID: 2264738509
Enrollment ID: I20160311001058

Medical Identifiers

Medical identifiers for Michael Banoub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740647858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501017184 (Michigan)	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. Michael Banoub allows following entities to bill medicare on his behalf.

Provider Name	Marina Rehabilitation And Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902875941 PECOS PAC ID: 7618913237 Enrollment ID: O20050706000207

Provider Name	Jmk Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215704655 PECOS PAC ID: 4284078890 Enrollment ID: O20240221003874

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. Michael Banoub 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
Michael Banoub, PT, PHD 1050 W University Dr, Suite3, Rochester, MI 48307-1877 Ph: (248) 650-1984	Michael Banoub, PT, PHD 1050 W University Dr, Suite3, Rochester, MI 48307-1877 Ph: (248) 650-1984

Reviews and Comments

Physical Therapist in Rochester, MI

Matthew Rolf, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Pine St, Rochester, MI 48307 Phone: 248-918-8575
Rachel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3145 Lily Trl, Rochester, MI 48306 Phone: 248-759-8500
Vijay S Digambaranath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5638
Dheeraj Kumar Pulijala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 W University Dr, Suite 130, Rochester, MI 48307 Phone: 248-652-1135 Fax: 248-652-0280
Mrs. Michelle Claudette Decker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 W University Dr Ste 130, Rochester, MI 48307 Phone: 248-652-1135 Fax: 248-652-0280
Erin Rose Hart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5363
Angela Marie Slessor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1135 W University Dr Ste 450, Rochester, MI 48307 Phone: 248-650-2400

Michael Banoub, PT, PHD - Medicare Physical Therapist in Rochester, MI