Antoinette Marie Bannister, MD in Clemson, SC

Antoinette Marie Bannister, MD is a medicare enrolled "Pediatrics" physician in Clemson, South Carolina. Her current practice location is 450 Old Greenville Hwy, Clemson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 653-8964.

Antoinette Marie Bannister is licensed to practice in South Carolina (license number 36764) 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 1174579254.

Contact Information

	Antoinette Marie Bannister, MD
	450 Old Greenville Hwy, Clemson, SC 29631-1670
	(864) 653-8964
	Not Available

Map and Direction

Physician's Profile

Full Name	Antoinette Marie Bannister
Gender	Female
Speciality	Pediatrics
Location	450 Old Greenville Hwy, Clemson, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174579254
Provider Enumeration Date: 05/26/2006
Last Update Date: 01/28/2025

Medicare PECOS Information:

PECOS PAC ID: 1355417981
Enrollment ID: I20160711000270

Medical Identifiers

Medical identifiers for Antoinette Marie Bannister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174579254	NPI	-	NPPES
367640	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36764 (South Carolina)	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. Antoinette Marie Bannister allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041

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. Antoinette Marie Bannister 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
Antoinette Marie Bannister, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8611	Antoinette Marie Bannister, MD 450 Old Greenville Hwy, Clemson, SC 29631-1670 Ph: (864) 653-8964

Reviews and Comments

Pediatrics Doctors in Clemson, SC

Marion A Wills, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 Fax: 846-653-8963
James E Feiste, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-512-5890 Fax: 864-512-4711
Elizabeth Anton Chea, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 208 Frontage Rd, Suite 1, Clemson, SC 29631 Phone: 864-654-6034

Antoinette Marie Bannister, MD - Medicare Pediatrics in Clemson, SC