Ms Kimberly Ellen Banach, is a
Community/behavioral Health based in Charlton, Massachusetts. Ms Kimberly Ellen Banach is licensed to practice in * (Not Available) (license number ) and her current practice location is
75 Bond Rd, Charlton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 523-8371.
NPI number for Ms Kimberly Ellen Banach is 1730859539 and her current mailing address is 75 Bond Rd, Charlton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730859539.
Healthcare Provider's Profile
Full Name | Ms Kimberly Ellen Banach |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 75 Bond Rd, Charlton, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730859539
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 09/14/2021
Medical Identifiers
Medical identifiers for Ms Kimberly Ellen Banach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730859539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (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. Ms Kimberly Ellen Banach 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 |
Ms Kimberly Ellen Banach, 75 Bond Rd, Charlton, MA 01507-1301 Ph: (774) 200-3942 | Ms Kimberly Ellen Banach, 75 Bond Rd, Charlton, MA 01507-1301 Ph: (508) 523-8371 |
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