Ms Loranda Lee Banker, MS,RD,LDN is a medicare enrolled "Dietitian, Registered" provider in Flora, Illinois. Her current practice location is
623 N Main St, Flora, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 676-5748.
Ms Loranda Lee Banker is licensed to practice in Illinois (license number 164.003241) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265869671.
Healthcare Provider's Profile
| Full Name | Ms Loranda Lee Banker |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 623 N Main St, Flora, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265869671
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 09/30/2013
Medicare PECOS Information:
- PECOS PAC ID: 7113949108
- Enrollment ID: I20051219000544
Medical Identifiers
Medical identifiers for Ms Loranda Lee Banker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265869671 | NPI | - | NPPES |
| K23388 | Other | IL | MEDICARE PART B PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 164.003241 (Illinois) | Primary |
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. Ms Loranda Lee Banker allows following entities to bill medicare on her behalf.
| Provider Name | Richland Memorial Hospital Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467492124
PECOS PAC ID: 3870565732
Enrollment ID: O20040811000131 |
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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. Ms Loranda Lee Banker 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 |
|---|
Ms Loranda Lee Banker, MS,RD,LDN
623 N Main St,
Flora, IL 62839-1407
Ph: (618) 676-5748 | Ms Loranda Lee Banker, MS,RD,LDN
623 N Main St,
Flora, IL 62839-1407
Ph: (618) 676-5748 |
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