Michael Baniewicz, PSYD is a
Clinical Neuropsychologist based in King Of Prussia, Pennsylvania. Michael Baniewicz is licensed to practice in Pennsylvania (license number PS018515) and his current practice location is
1010 W 8th Ave Ste I, King Of Prussia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(856) 346-0005.
NPI number for Michael Baniewicz is 1134519523 and his current mailing address is 1010 W 8th Ave Ste I, King Of Prussia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134519523.
Healthcare Provider's Profile
Full Name | Michael Baniewicz |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 1010 W 8th Ave Ste I, King Of Prussia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134519523
- Provider Enumeration Date: 01/23/2015
- Last Update Date: 11/22/2021
Medical Identifiers
Medical identifiers for Michael Baniewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134519523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC005164 (Pennsylvania) | Secondary |
103G00000X | Clinical Neuropsychologist | PS018515 (Pennsylvania) | Primary |
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 Baniewicz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Baniewicz, PSYD 1010 W 8th Ave Ste I, King Of Prussia, PA 19406-1349 Ph: () - | Michael Baniewicz, PSYD 1010 W 8th Ave Ste I, King Of Prussia, PA 19406-1349 Ph: (856) 346-0005 |
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