Mira Jeanine Banks, MSCJ is a
Case Manager/care Coordinator based in Toledo, Ohio. Mira Jeanine Banks is licensed to practice in * (Not Available) (license number ) and her current practice location is
2005 Ashland Ave, Toledo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 841-7701.
NPI number for Mira Jeanine Banks is 1295580496 and her current mailing address is 2005 Ashland Ave, Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295580496.
Healthcare Provider's Profile
| Full Name | Mira Jeanine Banks |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2005 Ashland Ave, Toledo, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295580496
- Provider Enumeration Date: 04/22/2024
- Last Update Date: 09/11/2024
Medical Identifiers
Medical identifiers for Mira Jeanine Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295580496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.187815 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Mira Jeanine Banks 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 |
|---|
Mira Jeanine Banks, MSCJ
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 | Mira Jeanine Banks, MSCJ
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 |
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