Dr Jill M Banatoski, MD is a medicare enrolled "Internal Medicine" physician in Westbrook, Connecticut. She went to Stanford University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Northeast Medical Group Inc and her current practice location is
5 Pequot Park Rd, Suite 301, Westbrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 399-6167.
Dr Jill M Banatoski is licensed to practice in Connecticut (license number 036865) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982760542.
Physician's Profile
| Full Name | Dr Jill M Banatoski |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 29 Years |
|---|
| Location | 5 Pequot Park Rd, Westbrook, Connecticut |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jill M Banatoski attended and graduated from Stanford University School Of Medicine in 1995
NPI Data:
- NPI Number: 1982760542
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436330628
- Enrollment ID: I20110222000036
Medical Identifiers
Medical identifiers for Dr Jill M Banatoski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982760542 | NPI | - | NPPES |
| 036865 | Other | CT | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 036865 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeast Medical Group Inc | 1254233836 | 1244 |
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 Jill M Banatoski allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522 |
|---|
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 Jill M Banatoski 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 Jill M Banatoski, MD
5 Pequot Park Rd, Suite 301,
Westbrook, CT 06498-2856
Ph: (860) 399-6167 | Dr Jill M Banatoski, MD
5 Pequot Park Rd, Suite 301,
Westbrook, CT 06498-2856
Ph: (860) 399-6167 |
Reviews and Comments