Kanesha Simmons Banks, is a medicare enrolled "Clinical Neuropsychologist" provider in Ft Worth, Texas. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Acclaim Physician Group Inc and her current practice location is
601 W Terrell Ave, Ft Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 702-3100.
Kanesha Simmons Banks is licensed to practice in Texas (license number 17055) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699449835.
Healthcare Provider's Profile
| Full Name | Kanesha Simmons Banks |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 601 W Terrell Ave, Ft Worth, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kanesha Simmons Banks graduated from medical school in 2020
NPI Data:
- NPI Number: 1699449835
- Provider Enumeration Date: 08/02/2021
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648656413
- Enrollment ID: I20220930002031
Medical Identifiers
Medical identifiers for Kanesha Simmons Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699449835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 38979 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 17055 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Acclaim Physician Group Inc | 4587963582 | 467 |
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. Kanesha Simmons Banks allows following entities to bill medicare on her behalf.
| Entity Name | Acclaim Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
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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. Kanesha Simmons Banks 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 |
Kanesha Simmons Banks, 7400 Merton Minter St, San Antonio, TX 78229-4404 Ph: (210) 617-5300 | Kanesha Simmons Banks, 601 W Terrell Ave, Ft Worth, TX 76104-3243 Ph: (817) 702-3100 |
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