Dr Bruce Douglas Banwart, MD - Medicare Pediatrics in Sioux Falls, SD

Dr Bruce Douglas Banwart, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Sioux Falls, South Dakota. His current practice location is 1417 S Cliff Ave Ste 201, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 322-3666.

Dr Bruce Douglas Banwart is licensed to practice in South Dakota (license number 12415) 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 1811945439.

Contact Information

Dr Bruce Douglas Banwart, MD
1417 S Cliff Ave Ste 201,
Sioux Falls, SD 57105-1009
(605) 322-3666
Not Available

Map and Direction




Physician's Profile

Full NameDr Bruce Douglas Banwart
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1417 S Cliff Ave Ste 201, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811945439
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 03/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1153404611
  • Enrollment ID: I20081231000450

Medical Identifiers

Medical identifiers for Dr Bruce Douglas Banwart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811945439NPI-NPPES
205855109MedicaidMO
100421570AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 2015008610 (Missouri)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 12415 (South Dakota)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. Dr Bruce Douglas Banwart allows following entities to bill medicare on his behalf.
Entity NameThe Childrens Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851437719
PECOS PAC ID: 2466366026
Enrollment ID: O20031118000182

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. Dr Bruce Douglas Banwart 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 AddressPractice Location Address
Dr Bruce Douglas Banwart, MD
1417 S Cliff Ave Ste 201,
Sioux Falls, SD 57105-1009

Ph: (605) 322-3666
Dr Bruce Douglas Banwart, MD
1417 S Cliff Ave Ste 201,
Sioux Falls, SD 57105-1009

Ph: (605) 322-3666

Reviews and Comments


Pediatrics Doctors in Sioux Falls, SD

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Phone: 605-322-1010    Fax: 605-322-1011
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Phone: 605-322-4425    Fax: 605-322-4499
Kayelyn J. Wagner, M.D.
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Phone: 605-328-7800    Fax: 605-328-7899
Mrs. Katie Elizabeth Larson, MD
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Medicare: Medicare Enrolled
Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105
Phone: 605-328-7800    Fax: 605-328-7899

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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