Wade M Banner, DMD in Glendora, CA - Medicare Dentist Provider

Wade M Banner, DMD is a medicare enrolled "Dentist - General Practice" provider in Glendora, California. His current practice location is 2060 E Route 66 Ste 105, Glendora, California. You can reach out to his office (for appointments etc.) via phone at (626) 594-0374.

Wade M Banner is licensed to practice in California (license number 63601) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952718702.

Contact Information

	Wade M Banner, DMD
	2060 E Route 66 Ste 105, Glendora, CA 91740-4691
	(626) 594-0374
	(626) 594-0813

Map and Direction

Healthcare Provider's Profile

Full Name	Wade M Banner
Gender	Male
Speciality	Dentist - General Practice
Location	2060 E Route 66 Ste 105, Glendora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952718702
Provider Enumeration Date: 07/14/2014
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3577875269
Enrollment ID: I20150709000927

Medical Identifiers

Medical identifiers for Wade M Banner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952718702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	63601 (California)	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. Wade M Banner 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
Wade M Banner, DMD 929 W. Foothill Blvd., Suite A, La Verne, CA 91750-3223 Ph: (626) 594-0374	Wade M Banner, DMD 2060 E Route 66 Ste 105, Glendora, CA 91740-4691 Ph: (626) 594-0374

Reviews and Comments

Dentist in Glendora, CA

Frankie C Ngo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 605 W Route 66, Glendora, CA 91740 Phone: 626-771-1320
Joseph A Geleris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 N Pennsylvania, # 3, Glendora, CA 91741 Phone: 626-963-7519 Fax: 626-335-8212
Dr. Patricia Kathleen Donnelly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 410 S Glendora Ave #250, Glendora, CA 91741 Phone: 626-963-4464 Fax: 626-963-4166
John Bunkers, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2220 E Route 66, Suite 107, Glendora, CA 91740 Phone: 626-857-4702 Fax: 626-857-4703
Dr. Ibrahim Irawan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 505 E Arrow Hwy, Glendora, CA 91740 Phone: 626-335-2899 Fax: 626-335-3892
Jamison Jon Pawley, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 N Pennsylvania Ave #6, Glendora, CA 91741 Phone: 626-963-4173 Fax: 626-963-6573
Dr. Emad M Ammar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 N Pennsylvania Ave, Ste #5, Glendora, CA 91741 Phone: 626-335-6888 Fax: 626-335-0277

Wade M Banner, DMD - Medicare Dentist in Glendora, CA