Banner Health Clinic - Medicare Primary Care in Susanville, CA

Banner Health Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Susanville, California. The current practice location for Banner Health Clinic is 1345 A Paul Bunyan Rd, Susanville, California. For appointments, you can reach them via phone at (530) 252-2235. The mailing address for Banner Health Clinic is 2901 N Central Ave Ste 160, Phoenix, Arizona and phone number is () -.

Banner Health Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205267549. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (530) 252-2235.

Contact Information

Banner Health Clinic
1345 A Paul Bunyan Rd
Susanville
CA 96130-3159
(530) 252-2235
(530) 252-2241

Map and Direction


Primary Care Clinic Profile

Full NameBanner Health Clinic
SpecialityClinic/Center
Location1345 A Paul Bunyan Rd, Susanville, California
Authorized Official Name and PositionDennis Laraway (CFO)
Authorized Official Contact6027474000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Banner Health Clinic
2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702

Ph: () -
Banner Health Clinic
1345 A Paul Bunyan Rd
Susanville
CA 96130-3159

Ph: (530) 252-2235

NPI Details:

NPI Number1205267549
Provider Enumeration Date12/12/2013
Last Update Date01/31/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9537078365
Medicare Enrollment IDO20140604002057

Medical Identifiers

Medical identifiers for Banner Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205267549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Banner Health Clinic acts as a billing entity for following providers:
Provider NameJeffry Gill
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1477654747
PECOS PAC ID: 0941278279
Enrollment ID: I20040924000195
Provider NameStephen J Hopkins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1265498539
PECOS PAC ID: 5294797569
Enrollment ID: I20041028001148
Provider NameMercedeh Baghai
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528014644
PECOS PAC ID: 3274507082
Enrollment ID: I20061221000393
Provider NameJanina M Meissner-frisk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023050796
PECOS PAC ID: 8527023555
Enrollment ID: I20091204000151
Provider NameGeorge H Barakat
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1437131067
PECOS PAC ID: 3173717535
Enrollment ID: I20101029000229
Provider NameSamuel Kwong-ming Liu
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1790863884
PECOS PAC ID: 9830373893
Enrollment ID: I20110415000332
Provider NameMark T Reis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1982709432
PECOS PAC ID: 3375448269
Enrollment ID: I20120222000577
Provider NameJeffrey S Fountain
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245420447
PECOS PAC ID: 7517141377
Enrollment ID: I20120530000222
Provider NameKristian L Brown
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023272051
PECOS PAC ID: 7416193735
Enrollment ID: I20130411000211
Provider NameBess E Brackett
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1043269491
PECOS PAC ID: 9931137783
Enrollment ID: I20141223001295
Provider NameTimothy Chinnock
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356505218
PECOS PAC ID: 3274843750
Enrollment ID: I20151112002772
Provider NameCathy R Xu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609078831
PECOS PAC ID: 7012192305
Enrollment ID: I20160119002567
Provider NameSteven J Lalliss
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1437130655
PECOS PAC ID: 9335329184
Enrollment ID: I20160705001403
Provider NameJohn C Kurylo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467611988
PECOS PAC ID: 0547400921
Enrollment ID: I20160725002848
Provider NameSara Forouhar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871937946
PECOS PAC ID: 6305125477
Enrollment ID: I20170315000632
Provider NameMichael Raymond Warmoth
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215932207
PECOS PAC ID: 4587852454
Enrollment ID: I20170418001874
Provider NameLaura Sullivan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386805794
PECOS PAC ID: 6901091016
Enrollment ID: I20180124001100
Provider NameMatthew J Kolosky
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023459211
PECOS PAC ID: 8921368226
Enrollment ID: I20180206001394
Provider NameJuan N Walterspiel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730458787
PECOS PAC ID: 9739440470
Enrollment ID: I20180221000797
Provider NameBrett J Schulte
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1285637579
PECOS PAC ID: 1052507720
Enrollment ID: I20180820003298
Provider NameChong S Lee
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497818025
PECOS PAC ID: 5597895359
Enrollment ID: I20190802000667
Provider NameLuis A Castellon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144616798
PECOS PAC ID: 7113254665
Enrollment ID: I20190807001330
Provider NameDamian M Ray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477993533
PECOS PAC ID: 7012207335
Enrollment ID: I20191231001441
Provider NameWilfredo Paras Manuntag
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417034075
PECOS PAC ID: 5597990002
Enrollment ID: I20200402002655
Provider NameSyed Haris Kazmi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053575142
PECOS PAC ID: 8123277316
Enrollment ID: I20200622002738
Provider NameSanjay Shah
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1285694778
PECOS PAC ID: 8628161882
Enrollment ID: I20210105001848
Provider NameAkpene Ahoefa Gbegnon
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184941379
PECOS PAC ID: 7012221500
Enrollment ID: I20210301001032
Provider NameChyun Yin Huang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407262876
PECOS PAC ID: 1951720291
Enrollment ID: I20220621001544
Provider NameTobias Alexander Handschin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598184343
PECOS PAC ID: 9032454178
Enrollment ID: I20230822000993
Provider NameWilliam Murrell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1134109572
PECOS PAC ID: 9638164353
Enrollment ID: I20231027003315

Reviews and Comments


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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.