Dr Douglas R Banning, DO is a medicare enrolled "Internal Medicine" physician in Vinita, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Northeastern Tribal Health System and his current practice location is
27371 S 4410 Rd, Vinita, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 256-4800.
Dr Douglas R Banning is licensed to practice in Oklahoma (license number 3104) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356477681.
Physician's Profile
| Full Name | Dr Douglas R Banning |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 32 Years |
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| Location | 27371 S 4410 Rd, Vinita, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas R Banning attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1992
NPI Data:
- NPI Number: 1356477681
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 02/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 6608863287
- Enrollment ID: I20110912000086
Medical Identifiers
Medical identifiers for Dr Douglas R Banning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356477681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 3104 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeastern Tribal Health System | 7911893854 | 18 |
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 Douglas R Banning allows following entities to bill medicare on his behalf.
| Entity Name | Northeastern Tribal Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871522532
PECOS PAC ID: 7911893854
Enrollment ID: O20040226000389 |
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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. Dr Douglas R Banning 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 |
|---|
Dr Douglas R Banning, DO
27371 S 4410 Rd,
Vinita, OK 74301-7953
Ph: (918) 256-4800 | Dr Douglas R Banning, DO
27371 S 4410 Rd,
Vinita, OK 74301-7953
Ph: (918) 256-4800 |
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