Dr Jeffrey O'banner, MD is a medicare enrolled "Emergency Medicine" physician in Covington, Tennessee. He went to Indiana University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Emergency Coverage Llc, Yazoo Emergency Group, Llc and his current practice location is
1995 Highway 51 S, Covington, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 476-2621.
Dr Jeffrey O'banner is licensed to practice in Tennessee (license number 57210) 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 1801277363.
Physician's Profile
| Full Name | Dr Jeffrey O'banner |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 9 Years |
|---|
| Location | 1995 Highway 51 S, Covington, Tennessee |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jeffrey O'banner attended and graduated from Indiana University School Of Medicine in 2015
NPI Data:
- NPI Number: 1801277363
- Provider Enumeration Date: 06/10/2015
- Last Update Date: 04/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365744760
- Enrollment ID: I20180730001930
Medical Identifiers
Medical identifiers for Dr Jeffrey O'banner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801277363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 125067541 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 57210 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Emergency Coverage Llc | 3072412592 | 391 |
| Yazoo Emergency Group, Llc | 0749511574 | 16 |
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 Jeffrey O'banner allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Coverage Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666 |
|---|
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 Jeffrey O'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 |
|---|
Dr Jeffrey O'banner, MD
180 S 3rd St, Suite 300,
Belleville, IL 62220-1952
Ph: (618) 333-5480 | Dr Jeffrey O'banner, MD
1995 Highway 51 S,
Covington, TN 38019-3635
Ph: (901) 476-2621 |
Reviews and Comments